Provider Demographics
NPI:1639191083
Name:SEARS, RODGER SR (DDS)
Entity type:Individual
Prefix:DR
First Name:RODGER
Middle Name:
Last Name:SEARS
Suffix:SR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:RODGER
Other - Middle Name:STONE
Other - Last Name:SEARS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:13507 W CAMINO DEL SOL STE B3
Mailing Address - Street 2:
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-4416
Mailing Address - Country:US
Mailing Address - Phone:623-248-9111
Mailing Address - Fax:623-289-7211
Practice Address - Street 1:13507 W CAMINO DEL SOL STE B3
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-4416
Practice Address - Country:US
Practice Address - Phone:623-248-9111
Practice Address - Fax:623-289-7211
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ49861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice