Most Relevant Information
Provider Data
| NPI Number: | 1003032608 |
| Provider Name: | JACQUELINE B RODGERS D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 048148 |
Most Important Dates
| Enumeration Date: | 04/18/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
755 PARK AVE
SUITE 400
HUNTINGTON
NY
117433975
Practice Location Phone/Fax
| Phone: | 6312718100 |
| Fax: | 6312718101 |
Provider Mailing Location
755 PARK AVE
SUITE 400
HUNTINGTON
NY
117433975
Provider Mailing Phone/Fax
| Phone: | 6312718100 |
| Fax: | 6312718101 |