| Rogers Dental Center P.a. | |
|
21410 136th Ave North Suite #109 Rogers MN 55374 | |
| (763) 428-2217 | |
| (763) 428-8586 |
| Full Name | Rogers Dental Center P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 21410 136th Ave North Suite #109, Rogers, Minnesota |
| Authorized Official Name and Position | Shana Elizabeth Mcveigh Heisler (PRESIDENT) |
| Authorized Official Contact | 7634282217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rogers Dental Center P.a. 21410 136th Ave North Suite #109 Rogers MN 55374 Ph: (763) 428-2217 | Rogers Dental Center P.a. 21410 136th Ave North Suite #109 Rogers MN 55374 Ph: (763) 428-2217 |
| NPI Number | 1386715704 |
|---|---|
| Provider Enumeration Date | 11/10/2006 |
| Last Update Date | 07/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386715704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D9395 (Minnesota) | Primary |
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