Organization
RESEARCH PARKWAY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM TODD ROGERS D.D.S. (OWNER)
(719) 528-6450
Entity
Organization
Contact information
Practice address
2465 RESEARCH PARKWAY, COLORADO SPRINGS, CO 80920
(719) 528-6450
(719) 528-5834
Mailing address
2465 RESEARCH PARKWAY, COLORADO SPRINGS, CO 80920
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6876
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477561454
NPI (TYPE 1)
CO
Enumeration date
05/15/2008
Last updated
05/15/2008
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