Organization
ELLIS I ROGERS, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIS I ROGERS D.D.S. (PRESIDENT)
(480) 963-5821
Entity
Organization
Contact information
Practice address
312 N ALMA SCHOOL RD, STE. 1, CHANDLER, AZ 85224-4354
(480) 963-5821
(480) 963-8239
Mailing address
312 N ALMA SCHOOL RD, STE. 1, CHANDLER, AZ 85224-4354
(480) 963-5821
(480) 963-8239
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1734
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
339776
UNITED CONCORDIA
—
Enumeration date
11/20/2006
Last updated
08/22/2020
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