Jenna Rogge, DDS
Individual provider Active NPI General Practice Dentistry · Brattleboro, VT
NPI 1427673243 · NPPES record last updated Jun 9, 2020
Key facts
- NPI
- 1427673243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 016.0133934 (VT)
- Practice address
- 1212 Putney Rd
Brattleboro, VT 05301-5102 - Phone
- (802) 254-9244
- NPI assigned
- Jun 9, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220415000166 | NY | Practitioner - Dentist | 8628464864 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016.0133934 | VT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True Point Dental-NH, PLLC | Current |
Accepting new patients | |
| Oak Orchard Community Health Center Inc. | Current |
Accepting new patients | |
| True Point Dental, PLLC | Current |
Accepting new patients | |
| Oak Orchard Community Health Center Inc | Current |
Accepting new patients |
Locations
301 West Ave
Albion, NY 14411
Phone (585) 589-5613
300 West Ave
Brockport, NY 14420
Phone (585) 637-3905
1212 Putney Rd
Brattleboro, VT 05301
Phone (802) 254-9244
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 016.0133934 | VT | Yes |
Addresses
Primary practice location
1212 Putney Rd
Brattleboro, VT 05301-5102
Mailing address
142 Hazel Rd
Dover, DE 19901-3823
Phone (302) 359-8772
Other providers in Brattleboro, VT
- Scott David Robinson
- Rock River Therapy PLLC
- Paul Rodrigue
- Elizabeth Rogers
- Emilee Rogers
- Valerie Anne Rooney
- Alysha Rosario
- Jeffrey Lee Rose
- Joseph E Rosen
- Mary Shea Rosen
All providers in Brattleboro, VT · General Practice Dentistry in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.