Individual
DR. ROGER E OPPENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12 CHIMNEY HILL RD, SHERMAN, CT 06784-1307
(860) 866-8100
Mailing address
12 CHIMNEY HILL RD, SHERMAN, CT 06784-1307
(860) 866-8100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010927
CT
1223G0001X
General Practice Dentistry
31759
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01199086
—
NY
Enumeration date
06/02/2005
Last updated
02/17/2016
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