Organization
ROGERS FAMILY DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL NICHOLAS ROGERS DDS (PRESIDENT)
(620) 442-5660
Entity
Organization
Contact information
Practice address
1939 N 11TH ST, ARKANSAS CITY, KS 67005-1724
(620) 442-5660
(620) 442-5682
Mailing address
1939 N 11TH ST, ARKANSAS CITY, KS 67005-1724
(620) 442-5660
(620) 442-5682
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
KS 5511
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100221560A
—
KS
05
—
200565320A
—
KS
05
—
200565330A
—
KS
01
—
BCBS008982
BLUE CROSS BLUE SHIELD
KS
Enumeration date
09/14/2006
Last updated
02/02/2015
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