Individual
PAUL NICHOLAS ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1939 N 11TH ST, ARKANSAS CITY, KS 67005-1724
(620) 442-5660
(620) 442-5682
Mailing address
1939 N 11TH ST, ARKANSAS CITY, KS 67005-1724
(620) 442-5660
(620) 442-5682
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
KS5511
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008982
BLUE CROSS BLUE SHIELD
KS
05
—
100221560A
—
KS
01
—
480951021
DELTA DENTAL
KY
Enumeration date
06/23/2005
Last updated
01/22/2015
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