Individual
BRANDON SCOTT ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 436-3980
(580) 421-6283
Mailing address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 436-3980
(580) 421-6283
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5900
OK
1223E0200X
Endodontics
62
OK
Other
Enumeration date
08/03/2006
Last updated
05/15/2015
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