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Organization

ROGERS AND ANDREWS ORTHODONTICS PARTNERSHIP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL BRUCE ROGERS D.D.S. (ORTHODONTIST)
(706) 733-1182
Entity
Organization

Contact information

Practice address
3545 WHEELER RD, AUGUSTA, GA 30909-6517
(706) 733-1182
Mailing address
3545 WHEELER RD, AUGUSTA, GA 30909-6517
(706) 733-1182

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1265525422
DENTIST
GA
01
1689706095
DENTIST
GA
Enumeration date
02/02/2009
Last updated
02/02/2009
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