Provider Demographics
NPI:1184717613
Name:ROGLER, RALPH E (DMD)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:E
Last Name:ROGLER
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 1:325 NAUGHRIGHT RD
Mailing Address - Street 2:
Mailing Address - City:LONG VALLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07853-3800
Mailing Address - Country:US
Mailing Address - Phone:908-850-0506
Mailing Address - Fax:908-979-9917
Practice Address - Street 1:325 NAUGHRIGHT RD
Practice Address - Street 2:
Practice Address - City:LONG VALLEY
Practice Address - State:NJ
Practice Address - Zip Code:07853-3800
Practice Address - Country:US
Practice Address - Phone:908-850-0506
Practice Address - Fax:908-979-9917
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ102531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice