Individual
KRISTEN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1075 CENTRAL PARK AVE STE 207, SCARSDALE, NY 10583-3250
(914) 472-5252
Mailing address
22 NORTHGATE CIR, MELVILLE, NY 11747-3037
(516) 312-6411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062800
NY
122300000X
Dentist
24394
FL
122300000X
Dentist
DN24394
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062800
LICENSE
NY
01
—
24394
LICENSE
FL
Enumeration date
09/19/2022
Last updated
10/12/2022
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