Organization
COMPASS DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON SCOTT ROGERS DMD (OWNER)
(864) 200-1999
Entity
Organization
Contact information
Practice address
2801 WADE HAMPTON BLVD, SUITE 118, TAYLORS, SC 29687-2781
(864) 715-0688
Mailing address
2801 WADE HAMPTON BLVD, SUITE 118, TAYLORS, SC 29687-2781
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4024
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX4024
—
SC
Enumeration date
05/16/2014
Last updated
05/16/2014
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