DR. SPENCER LYN ROGERS (NPI# 1871192625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871192625 |
| Entity Type | Individual |
| Full Name | DR. SPENCER LYN ROGERS |
| Credential | DMD |
| Practice Address |
11334 Ssg Sims St Fort Bliss AP 79908 |
| Mailing Address |
5453 La Estancia Cir El Paso TX 79932-2011 |
| Practice Telephone | 4693963063 |
| Mailing Telephone | 4693963063 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
36768 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962480780 | Spencer William Rogers | Ophthalmology | 36500 Aurora Dr, Summit, WI 53066-4899 | 2006-01-03 |
| Street Address |
11334 SSG SIMS ST |
| City | FORT BLISS |
| State | AP |
| Zip Code | 79908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164902664 | Jeffery Chen | Dentist | 11334 Ssg Sims Blvd, Fort Bliss, TX 79908 | 2018-08-15 |
| 1275089807 | Jaqueline Mendoza | Dental Assistant | 11334 Ssg Sims, Ft. Bliss, TX 79908 | 2016-09-01 |
| 1750838207 | Iliana Duran | Dental Assistant | 11334 Ssg Sims Rd, Ft. Bliss, TX 79908 | 2016-09-01 |
| 1528327962 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Bldg. 1611, Fort Bliss, TX 79908 | 2012-05-04 |
| 1811444326 | Claudia V Medrano | Dental Assistant | 11334 Ssg Sims Rd, Fort Bliss, TX 79908 | 2016-09-01 |
| 1871049403 | Angelica Cruz | Dental Assistant | 11334 Ssg Sims Rd, Biggs Field, TX 79908 | 2016-09-01 |
| 1972050417 | Jannet Nunez | Dental Assistant | 11334 Ssg Sims, Fort Bliss, TX 79908 | 2016-09-01 |
| 1881140416 | Viridiana Gutierrez | Dental Assistant | 11334 Ssg Sims Rd, Ft. Bliss, TX 79908 | 2016-09-01 |
| 1740706522 | Christina Murphy | Behavior Technician | 13315 Wendover Unit A, El Paso, TX 79908-1144 | 2017-08-14 |
| 1154969244 | Anna Nichole Kirchoff | Nurse Practitioner | 11761 Sgm Christian Fleetwood St, El Paso, TX 79908-3226 | 2019-12-19 |
| Find all providers in zip 79908 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346895596 | Parker Nash Benton | Dentist | 2901 Cassidy Rd, Fort Bliss, TX 79916-3502 | 2019-08-05 |
| 1568790186 | Thomas E. Wilson | Dentist | Bldg 128 Chaffee Rd, Us Army Dental Activit, Fort Bliss, TX 79916 | 2009-11-19 |
| 1487632972 | Kenneth Lee Marquardt | Dentist | 128 Chaffee, Fort Bliss, TX 79906-3811 | 2006-01-04 |
| 1558348342 | Felix M Latorre | Dentist | 128 Chaffee Road, Fort Bliss, TX 79906-3811 | 2005-12-22 |
| 1780669549 | Juan Navarrete Jr. | Dentist | 128 Chaffee Rd, Fort Bliss, TX 79906-3811 | 2005-12-14 |
| 1053396010 | Roger Dale Glenn | Dentist | 128 Chaffee Rd., Fort Bliss, TX 79906-3811 | 2005-12-13 |
| 1881206837 | Michael Patrick Hays | Dentist | 2954 Carrington Rd, Fort Bliss, TX 79916 | 2020-08-20 |
| 1396931499 | Marcus Steven Lastimado | Dentist | 128 Chaffee Road, Fort Bliss, TX 79906-3811 | 2007-09-21 |
| 1174572663 | Nathaniel Kiyoshi Butko | Dentist | 128 Chaffee Road, Fort Bliss, TX 79906-3811 | 2006-05-10 |
| 1083680912 | Willaim Andrew Heath | Dentist | 128 Chaffee Road, Fort Bliss, TX 79906-3811 | 2006-02-28 |
| Find all providers in FORT BLISS | ||||
| City | FORT BLISS |
| Zip Code | 79908 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.