Individual
DR. ROGER J ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS, MBA
Contact information
Practice address
5373 GREEN ST, SUITE 400, SALT LAKE CITY, UT 84123-4680
(801) 313-7051
(801) 290-5126
Mailing address
669 ROCKY KNOLL LN, DRAPER, UT 84020-7659
(801) 450-6040
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
140656-9924
UT
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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