Organization
JEFF L. RODGERS, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF RODGERS (OWNER)
(770) 394-4310
Entity
Organization
Contact information
Practice address
1719 MOUNT VERNON RD, SUITE A, DUNWOODY, GA 30338-4268
(770) 394-4310
Mailing address
1719 MOUNT VERNON RD, SUITE A, DUNWOODY, GA 30338-4268
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011381
GA
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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