Organization
ROGERS FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHON M ROGERS DMD (OWNER DENTIST)
(423) 638-7491
Entity
Organization
Contact information
Practice address
1741 OLD TUSCULUM RD, GREENEVILLE, TN 37745-4308
(423) 638-7491
Mailing address
1741 OLD TUSCULUM RD, GREENEVILLE, TN 37745-4308
(423) 638-7491
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8554
TN
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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