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General NPI Number Information
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NPI Number | 1669321691
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Entity Type | Organization
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Legal Business Name | RODGERS FAMILY DENTAL PA
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 4140 NW 27TH LN STE H
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City | GAINESVILLE
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State | FL
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Zip | 32606-6600
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Country | US
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Telephone | 352-262-7058
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Fax |
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Provider Business Mailing Address
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Address Line | 7615 SW 7TH PL
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City | GAINESVILLE
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State | FL
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Zip | 32607-1580
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Country | US
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Telephone | 352-262-7058
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. JOHN RODGERS
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Credential | DMD
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Telephone | 352-262-7058
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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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