| Kenneth B Rogers Dmd Pa | |
|
1550 1st St S Winter Haven FL 33880-4306 | |
| (863) 293-0636 | |
| (863) 293-2479 |
| Full Name | Kenneth B Rogers Dmd Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1550 1st St S, Winter Haven, Florida |
| Authorized Official Name and Position | Kenneth Benjamine Rogers (DIRECTOR) |
| Authorized Official Contact | 8632930636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth B Rogers Dmd Pa 1550 1st St S Winter Haven FL 33880-4306 Ph: (863) 293-0636 | Kenneth B Rogers Dmd Pa 1550 1st St S Winter Haven FL 33880-4306 Ph: (863) 293-0636 |
| NPI Number | 1922082486 |
|---|---|
| Provider Enumeration Date | 11/30/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922082486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN11515 (Florida) | Primary |
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