Provider Demographics
NPI:1538363643
Name:ROGERS, RENEE LIGUORI (DDS)
Entity type:Individual
Prefix:DR
First Name:RENEE
Middle Name:LIGUORI
Last Name:ROGERS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9191 PINECROFT DR
Mailing Address - Street 2:SUITE 270
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2796
Mailing Address - Country:US
Mailing Address - Phone:281-419-2632
Mailing Address - Fax:
Practice Address - Street 1:9191 PINECROFT DR
Practice Address - Street 2:SUITE 270
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-2796
Practice Address - Country:US
Practice Address - Phone:281-419-2632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0022903122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist