Individual
DR. ROGER DEAN SEEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
326 W FRANKLIN ST, ELKHART, IN 46516
(574) 293-5732
Mailing address
PO BOX 1770, 326 W FRANKLIN ST, ELKHART, IN 46515-1770
(574) 293-5732
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12007659A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SEE 22455
BCBS
—
Enumeration date
10/03/2006
Last updated
07/08/2007
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