Provider Demographics
NPI:1114272622
Name:HINZE-ROGAKIS, MELISSA J (DDS)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:J
Last Name:HINZE-ROGAKIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4740 SEDONA LN
Mailing Address - Street 2:
Mailing Address - City:DACONO
Mailing Address - State:CO
Mailing Address - Zip Code:80514-8529
Mailing Address - Country:US
Mailing Address - Phone:307-272-9277
Mailing Address - Fax:
Practice Address - Street 1:14749 W 87TH PKWY UNIT C
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-1337
Practice Address - Country:US
Practice Address - Phone:720-779-0088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-20
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO107391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice