Individual
DR. THOMAS MATTHEW ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2105 E 21ST ST, TULSA, OK 74114-1409
(918) 747-4760
Mailing address
2105 E 21ST ST, TULSA, OK 74114-1409
(918) 747-4760
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5797
OK
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
150
OK
Other
Enumeration date
12/19/2006
Last updated
10/29/2013
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