NPI 1104833730

Brandon Scott Rogers, DDS

Practitioner Dentist Ada, OK

Practice location

Address: 1921 Stonecipher Blvd, Ada, OK 74820
Phone: (580) 436-3980
Fax: (580) 421-6283

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 5900 (OK)

Other Dentist providers in Oklahoma →

Endodontics

Dental Providers Taxonomy 1223E0200X Licence 62 (OK)

Registry record

NPI: 1104833730
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Aug 2006
Record last updated: 15 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.