Provider Demographics
NPI:1568610301
Name:PFLUGFELDER, ROGER (DMD)
Entity Type:Individual
Prefix:
First Name:ROGER
Middle Name:
Last Name:PFLUGFELDER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 BELLMORE AVE
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-5606
Mailing Address - Country:US
Mailing Address - Phone:516-785-4744
Mailing Address - Fax:
Practice Address - Street 1:2140 BELLMORE AVE
Practice Address - Street 2:
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-5606
Practice Address - Country:US
Practice Address - Phone:516-785-4744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-05
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA041367-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist