Provider Demographics
NPI:1740394964
Name:ROGINSKY, EUGENE (DMD, MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:
Last Name:ROGINSKY
Suffix:
Gender:M
Credentials:DMD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1251 S CEDAR CREST BLVD STE 311
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6205
Mailing Address - Country:US
Mailing Address - Phone:610-435-6161
Mailing Address - Fax:845-896-8032
Practice Address - Street 1:1251 S CEDAR CREST BLVD STE 311
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6205
Practice Address - Country:US
Practice Address - Phone:610-435-6161
Practice Address - Fax:845-896-8032
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-030775-L1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery