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General NPI Number Information
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NPI Number | 1750594024
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Entity Type | Organization
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Legal Business Name | ROGER L PARROTT, DDS, PC
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1519 S OLD HIGHWAY 94
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City | SAINT CHARLES
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State | MO
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Zip | 63303-3736
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Country | US
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Telephone | 636-946-0181
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Fax | 636-946-5431
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Provider Business Mailing Address
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Address Line | 1519 S OLD HIGHWAY 94
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City | SAINT CHARLES
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State | MO
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Zip | 63303-3736
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Country | US
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Telephone | 636-946-0181
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Fax | 636-946-5431
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DENNIS A PARROTT
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Credential | DMD
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Telephone | 636-946-0181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 13601
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License Number State | MO
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