MEDICARE: JUAN A. ROJAS DOWGIALLO DDS

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	1223G0001X	General Practice Dentistry	0401412139	VA

General Provider Information

NPI Number	:	1548421209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUAN A. ROJAS DOWGIALLO DDS

Provider Business Mailing Address
First Line	:	1021 BOULEVARD
Second Line	:
City	:	COLONIAL HEIGHTS
State	:	VA
Zip	:	23834-3258
Country	:	US
Telephone Number	:	804-892-1330
Fax Number	:	804-520-1474

Provider Business Practice Location Address
First Line	:	1021 BOULEVARD
Second Line	:
City	:	COLONIAL HEIGHTS
State	:	VA
Zip	:	23834-3258
Country	:	US
Telephone Number	:	804-892-1330
Fax Number	:	804-520-1474

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

Provider Enumeration Date	:	06/24/2008
Last Update Date	:	01/23/2024

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