Kenneth Rogers, DDS | |
1005 Main St, Salmon, ID 83467-0947 | |
(208) 756-4940 | |
(208) 756-3381 |
Full Name | Kenneth Rogers |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 1005 Main St, Salmon, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568560175 | NPI | - | NPPES |
000792200 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D1790 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kenneth Rogers, DDS Po Box 947, Salmon, ID 83467-0947 Ph: (208) 756-4940 | Kenneth Rogers, DDS 1005 Main St, Salmon, ID 83467-0947 Ph: (208) 756-4940 |
Gregory S Holbrook, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1301 Main St, Suite 9, Salmon, ID 83467 Phone: 208-756-2899 Fax: 208-756-4686 | |
Dr. Mark S Oliverson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 207 Margaret St, Salmon, ID 83467 Phone: 208-756-2262 Fax: 208-756-4473 |