Individual
KRISTEN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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