Kenneth B Rogers Dmd Pa in Winter Haven - Pediatric Dentistry
Kenneth B Rogers Dmd Pa - NPI 1922082486
Kenneth B Rogers Dmd Pa is a Pediatric Dentistry in Winter Haven, Florida. Kenneth B Rogers Dmd Pa practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kenneth B Rogers Dmd Pa is 1922082486. The last update date is 2020-08-22.
Kenneth B Rogers Dmd Pa's current location address is 1550 1st St S, Winter Haven, Florida. You can contact this provider via phone number 8632930636 and fax number 8632932479. The mailing address for Kenneth B Rogers Dmd Pa is 1550 1st St S, Winter Haven, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kenneth B Rogers Dmd Pa |
|---|---|
| Address | 1550 1st St S, Winter Haven, Florida |
| Phone Number | 8632930636 |
| Fax Number | 8632932479 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Rogers Benjamine Kenneth |
| Credentials | DMD |
| Telephone Number | 8632930636 |
NPI Number Detail
| NPI Number | 1922082486 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1550 1st St S |
|---|---|
| City | Winter Haven |
| State | Florida (FL) |
| Post Code | 338804306 |
| Phone Number | 8632930636 |
| Fax Number | 8632932479 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DN11515 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique 10-digit identification code assigned to Kenneth B Rogers Dmd Pa by the Centers for Medicare & Medicaid Services?
The Kenneth B Rogers Dmd Pa has been issued the NPI (National Provider Identifier) 1922082486, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kenneth B Rogers Dmd Pa is geographically located?
The Kenneth B Rogers Dmd Pa is physically situated at the following location: 1550 1St St S, Winter Haven, FL, 338804306.
What is Kenneth B Rogers Dmd Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kenneth B Rogers Dmd Pa is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date did Kenneth B Rogers Dmd Pa receive its 1922082486 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth B Rogers Dmd Pa was assigned its 1922082486 on 2005-11-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kenneth B Rogers Dmd Pa most recently updated?
The details pertaining to the Kenneth B Rogers Dmd Pa, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.