Individual
AUSTIN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
401 WEST JACKSON STREET, RIDGELAND, MS 39157
(601) 713-1923
Mailing address
401 W JACKSON STREET, RIDGELAND, MS 39157
(731) 695-1599
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4300-22
MS
Other
Enumeration date
06/22/2022
Last updated
02/20/2024
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