MEDICARE: SCOTT N ROGERS D.D.S.

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
1	122300000X	Dentist	60550	KS

General Provider Information

NPI Number	:	1083873962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT N ROGERS D.D.S.

Provider Business Mailing Address
First Line	:	1939 N 11TH ST
Second Line	:
City	:	ARKANSAS CITY
State	:	KS
Zip	:	67005-1724
Country	:	US
Telephone Number	:	620-442-5660
Fax Number	:	620-442-5682

Provider Business Practice Location Address
First Line	:	1939 N 11TH ST
Second Line	:
City	:	ARKANSAS CITY
State	:	KS
Zip	:	67005-1724
Country	:	US
Telephone Number	:	620-442-5660
Fax Number	:	620-442-5682

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2008
Last Update Date	:	06/05/2008

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Directions to “ SCOTT N ROGERS D.D.S.” Practice Location

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