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General NPI Number Information
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NPI Number | 1205723640
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Entity Type | Organization
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Legal Business Name | ROGERS CENTER FOR ORAL & FACIAL SURGERY PC
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 3875 HOLCOMB BRIDGE RD STE 4
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City | NORCROSS
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State | GA
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Zip | 30092-2212
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Country | US
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Telephone | 404-990-4595
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Fax | 404-990-4597
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Provider Business Mailing Address
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Address Line | 3875 HOLCOMB BRIDGE RD STE 4
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092-2212
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Country | US
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Telephone | 404-990-4595
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Fax | 404-990-4597
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Authorized Official
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Title or Position | OWNER/SURGEON
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Name | DR. KAEL ROGERS
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Credential | DDS, MD
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Telephone | 404-990-4595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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