Ellis I Rogers, D.d.s. | |
312 N Alma School Rd Ste. 1 Chandler AZ 85224-4354 | |
(480) 963-5821 | |
(480) 963-8239 |
Full Name | Ellis I Rogers, D.d.s. |
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Speciality | Dentist - General Practice |
Location | 312 N Alma School Rd, Chandler, Arizona |
Authorized Official Name and Position | Ellis I Rogers (PRESIDENT) |
Authorized Official Contact | 4809635821 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ellis I Rogers, D.d.s. 312 N Alma School Rd Ste. 1 Chandler AZ 85224-4354 Ph: (480) 963-5821 | Ellis I Rogers, D.d.s. 312 N Alma School Rd Ste. 1 Chandler AZ 85224-4354 Ph: (480) 963-5821 |
NPI Number | 1184798100 |
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Provider Enumeration Date | 11/20/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184798100 | NPI | - | NPPES |
339776 | Other | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 1734 (Arizona) | Primary |
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