Organization Active NPI

Rogers Center for Oral & Facial Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Norcross, GA
National Provider Identifier
1205723640
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ROGERS CENTER FOR ORAL & FACIAL SURGERY PC
Practice address
3875 Holcomb Bridge Rd Ste 4
Norcross, GA 30092-2212
Phone
(404) 990-4595
Fax
(404) 990-4597
NPI assigned
Jun 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kael Rogers, DDS, MDNPI 1083873871
Title
Owner/Surgeon
Phone
(404) 990-4595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

3875 Holcomb Bridge Rd Ste 4
Norcross, GA 30092-2212

Mailing address

3875 Holcomb Bridge Rd Ste 4
Peachtree Corners, GA 30092-2212
Phone (404) 990-4595

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1205723640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 HOLCOMB BRIDGE RD STE 4",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922212",
            "telephone_number": "404-990-4595",
            "fax_number": "404-990-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 HOLCOMB BRIDGE RD STE 4",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922212",
            "telephone_number": "404-990-4595",
            "fax_number": "404-990-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGERS CENTER FOR ORAL & FACIAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "KAEL",
        "authorized_official_title_or_position": "OWNER/SURGEON",
        "authorized_official_telephone_number": "404-990-4595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.