# ROGERS FAMILY DENTISTRY PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871698423
- **Authorized official:** DR. PAUL NICHOLAS ROGERS DDS (PRESIDENT)
- **Authorized official phone:** (620) 442-5660

## Contact information

- **Practice address:** 1939 N 11TH ST, ARKANSAS CITY, KS 67005-1724
- **Practice address phone:** (620) 442-5660
- **Practice address fax:** (620) 442-5682
- **Mailing address:** 1939 N 11TH ST, ARKANSAS CITY, KS 67005-1724
- **Mailing address phone:** (620) 442-5660
- **Mailing address fax:** (620) 442-5682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | KS 5511 | KS | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 02/02/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100221560A | — | KS |
| 05 | — | 200565320A | — | KS |
| 05 | — | 200565330A | — | KS |
| 01 | — | BCBS008982 | BLUE CROSS BLUE SHIELD | KS |