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NPI Code Detail

MEDICARE: SCOTT DAVID ROGERS

MEDICARE: SCOTT DAVID ROGERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry18038OH

General Provider Information

NPI Number : 1952567471
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT DAVID ROGERS
Provider Business Mailing Address
First Line : 7023 MIAMI AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-2636
Country : US
Telephone Number : 513-561-7883
Fax Number :
Provider Business Practice Location Address
First Line : 7023 MIAMI AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-2636
Country : US
Telephone Number : 513-561-7883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2008
Last Update Date : 08/04/2008

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Directions to “ SCOTT DAVID ROGERS ” Practice Location

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