| Richard L. Rodgers, D.d.s., M.s. | |
|
2912 Hamilton Blvd Suite 103 Sioux City IA 51104-2410 | |
| (712) 255-0088 | |
| Not Available |
| Full Name | Richard L. Rodgers, D.d.s., M.s. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2912 Hamilton Blvd, Sioux City, Iowa |
| Authorized Official Name and Position | Richard Lee Rodgers (OWNER/PERIODONTIST) |
| Authorized Official Contact | 7122550088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard L. Rodgers, D.d.s., M.s. 2912 Hamilton Blvd Suite 103 Sioux City IA 51104-2410 Ph: (712) 255-0088 | Richard L. Rodgers, D.d.s., M.s. 2912 Hamilton Blvd Suite 103 Sioux City IA 51104-2410 Ph: (712) 255-0088 |
| NPI Number | 1912165176 |
|---|---|
| Provider Enumeration Date | 05/23/2008 |
| Last Update Date | 05/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912165176 | NPI | - | NPPES |
| 23319 | Other | IA | MEDICARE ID-TYPE UNSPECIFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 6596 (Iowa) | Primary |
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