Individual provider · Type 1 NPI
Nicole Rogers
Periodontics · Fayetteville, NC
NPI number
1083300073
Active
Practice location
612 Winding Creek Rd
Fayetteville, NC 28305-5723
Mailing address
718 E 52nd St
Indianapolis, IN 46205-1120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 13172 (NC) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
3 other providers at this address
About NPI 1083300073
Nicole Rogers's National Provider Identifier is 1083300073, issued on Apr 13, 2023. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Fayetteville, NC. The record was last updated on Apr 13, 2023.