| Rogers Family Dentistry Pa | |
|
1939 N 11th St Arkansas City KS 67005-1724 | |
| (620) 442-5660 | |
| (620) 442-5682 |
| Full Name | Rogers Family Dentistry Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1939 N 11th St, Arkansas City, Kansas |
| Authorized Official Name and Position | Paul Nicholas Rogers (PRESIDENT) |
| Authorized Official Contact | 6204425660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rogers Family Dentistry Pa 1939 N 11th St Arkansas City KS 67005-1724 Ph: (620) 442-5660 | Rogers Family Dentistry Pa 1939 N 11th St Arkansas City KS 67005-1724 Ph: (620) 442-5660 |
| NPI Number | 1871698423 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 02/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871698423 | NPI | - | NPPES |
| 100221560A | Medicaid | KS | |
| 200565320A | Medicaid | KS | |
| 200565330A | Medicaid | KS | |
| BCBS008982 | Other | KS | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | KS 5511 (Kansas) | Primary |
Trevor S Harris Dds Pa Dental Clinic Medicare: Medicare Enrolled Practice Location: 102 W Kansas Ave, Arkansas City, KS 67005 Phone: 620-442-1820 |