Individual
BROOKE GRICE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4 WEDGEPARK RD, CHARLESTON, SC 29407-7812
(803) 730-5650
Mailing address
4 WEDGEPARK RD, CHARLESTON, SC 29407-7812
(803) 730-5650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11050
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11118
SC
Other
Enumeration date
04/21/2025
Last updated
08/18/2025
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