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Individual

DR. HARDIN WINSLOW ROGERS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS MS PA

Contact information

Practice address
400 PEACHTREE STREET, ROCKY MOUNT, NC 27804
(252) 446-0117
(252) 446-2264
Mailing address
400 PEACHTREE STREET, ROCKY MOUNT, NC 27804
(252) 446-0117
(252) 446-2264

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
4665
AL
122300000X
Dentist
Primary
6399
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6399
NC STATE LICENSE
NC
01
96875
BLUE CROSS BLUE SHIELD
NC
Enumeration date
01/26/2007
Last updated
07/08/2007
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