Individual
DR. THOMAS GREGORY ROOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
116 E MILWAUKEE ST, JEFFERSON, WI 53549-1636
(920) 674-5225
Mailing address
116 E MILWAUKEE ST, JEFFERSON, WI 53549-1636
(920) 674-5225
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1647 G
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33550700
—
WI
Enumeration date
07/28/2006
Last updated
07/08/2007
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