Individual
JEFF L RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1719 MOUNT VERNON RD, SUITE A, DUNWOODY, GA 30338-4207
(770) 394-4310
(770) 392-0976
Mailing address
1719 MOUNT VERNON RD, SUITE A, DUNWOODY, GA 30338-4207
(770) 394-4310
(770) 392-0976
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011381
GA
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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