Individual
ALLEN D. RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
304 W WASHINGTON AVE, RICHLAND, MO 65556-7101
(573) 765-5131
(573) 765-3122
Mailing address
304 W WASHINGTON AVE, P.O. BOX 777, RICHLAND, MO 65556-7101
(573) 765-5131
(573) 765-3122
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2001028736
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MO
Enumeration date
03/08/2007
Last updated
07/09/2007
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