Provider Demographics
NPI:1609856343
Name:RODGERS, STEVEN F (DDS)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:F
Last Name:RODGERS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:405 BENTEE WES CT
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-4061
Mailing Address - Country:US
Mailing Address - Phone:812-401-3500
Mailing Address - Fax:812-401-3600
Practice Address - Street 1:405 BENTEE WES CT
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-4061
Practice Address - Country:US
Practice Address - Phone:812-401-3500
Practice Address - Fax:812-401-3600
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12009145A1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery