Provider Demographics
NPI:1922029073
Name:KAMPF, RODGER SADLER (DDS)
Entity Type:Individual
Prefix:DR
First Name:RODGER
Middle Name:SADLER
Last Name:KAMPF
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 CLEVELAND ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-3105
Mailing Address - Country:US
Mailing Address - Phone:530-666-2441
Mailing Address - Fax:530-666-2442
Practice Address - Street 1:216 CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-3105
Practice Address - Country:US
Practice Address - Phone:530-666-2441
Practice Address - Fax:530-666-2442
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA254051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice