Organization
STANLEY G ROGERS, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY GRAY ROGERS DDS (OWNER)
(919) 362-5777
Entity
Organization
Contact information
Practice address
412 E WILLIAMS ST STE D, APEX, NC 27502-2186
(919) 362-5777
(919) 367-8561
Mailing address
412 E WILLIAMS ST STE D, APEX, NC 27502-2186
(919) 362-5777
(919) 367-8561
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4015
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8997454
—
NC
01
—
97454
BLUE CROSS BLUE SHIELD
NC
Enumeration date
03/19/2008
Last updated
03/19/2008
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