Provider Demographics
NPI:1548629561
Name:EUGENE F. ROGINSKY, JR., D.M.D., P.C.
Entity type:Organization
Organization Name:EUGENE F. ROGINSKY, JR., D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:F
Authorized Official - Last Name:ROGINSKY
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-254-5081
Mailing Address - Street 1:290 KING OF PRUSSIA RD
Mailing Address - Street 2:BUILDING 1, SUITE 310
Mailing Address - City:RADNOR
Mailing Address - State:PA
Mailing Address - Zip Code:19087-5107
Mailing Address - Country:US
Mailing Address - Phone:610-780-5179
Mailing Address - Fax:
Practice Address - Street 1:2300 E MARKET ST
Practice Address - Street 2:4 AND 5
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-2858
Practice Address - Country:US
Practice Address - Phone:610-254-5081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-18
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS030775L1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty