Dr. Richard Lee Rodgers
Periodontist
2912 Hamilton Blvd Suite 103
Sioux City
, Iowa 51104-2410
Dr. Richard Lee Rodgers
Periodontist
2912 Hamilton Blvd Suite 103
Sioux City
, Iowa 51104-2410
(712) 255-8208
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Richard Lee Rodgers
- 2912 Hamilton Blvd Suite 103
- Sioux City, IA
- Zip : 51104-2410
- Fax : (712) 255-8208
- Phone : (712) 255-0088
Second Address
- Dr. Richard Lee Rodgers
- 2912 Hamilton Blvd Suite 103
- Sioux City, IA
- Zip : 51104-2410
- Fax : (712) 255-8208
- Phone : (712) 255-0088
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 6596 | IA |
National Provider Identifier
| NPI | 1154467876 |
|---|---|
| Provider Name | Dr. Richard Lee Rodgers |
| First Address | Sioux City, IA 51104-2410 |
| Second Address | Sioux City, IA 51104-2410 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/01/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T01340 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.