Organization
PALMER PARK DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STERLING LEON ROGERS DDS (OWNER)
(719) 597-3700
Entity
Organization
Contact information
Practice address
3208 N ACADEMY BLVD, SUITE 140, COLORADO SPRINGS, CO 80917-5161
(719) 597-3700
(719) 597-7507
Mailing address
3208 N ACADEMY BLVD, SUITE 140, COLORADO SPRINGS, CO 80917-5161
(719) 597-3700
(719) 597-7507
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00007989
CO
122300000X
Dentist
00201875
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38873362
—
CO
05
—
97401862
—
CO
Enumeration date
04/23/2015
Last updated
04/23/2015
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