| Rogers Minnesota Orthodontics Pllc | |
| 
					13690 Rogers Dr Ste 100 Rogers MN 55374-4899  | |
| (651) 450-7273 | |
| Not Available | 
| Full Name | Rogers Minnesota Orthodontics Pllc | 
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics | 
| Location | 13690 Rogers Dr Ste 100, Rogers, Minnesota | 
| Authorized Official Name and Position | Becky Craig (FINANCIAL COORDINATOR) | 
| Authorized Official Contact | 6514507273 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Rogers Minnesota Orthodontics Pllc 13690 Rogers Dr Ste 100 Rogers MN 55374-4899 Ph: (651) 450-7273  | Rogers Minnesota Orthodontics Pllc 13690 Rogers Dr Ste 100 Rogers MN 55374-4899 Ph: (651) 450-7273  | 
| NPI Number | 1619496700 | 
|---|---|
| Provider Enumeration Date | 09/11/2017 | 
| Last Update Date | 07/21/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619496700 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D13003 (Minnesota) | Primary | 
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