Roger J Dulvick DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AZ225 Issued in AZ

Legal business name

ROGER J DULVICK DDS PC

Practice address

4125 W Chandler Blvd
Chandler, AZ 85226-3709

Phone

(480) 961-7400

Fax

(480) 961-7403

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Diana Wang-DulvickNPI 1487793444

Title

Associate Dentist

Phone

(480) 961-7400

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Diana Wang-Dulvick

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1487793444
  NPD (past) Authorized official
• Roger Dulvick, DDS

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1689713869
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790824977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 W CHANDLER BLVD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 W CHANDLER BLVD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263709",
            "telephone_number": "480-961-7400",
            "fax_number": "480-961-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER J DULVICK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANG-DULVICK",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "ASSOCIATE DENTIST",
        "authorized_official_telephone_number": "480-961-7400"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "AZ225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocio Rodriguez
• Shameka Uzell Rodriguez
• Erlinda T Rodriquez, MD
• Phillip Roe, DDS, MS
• Raymond Philip Roffi, M.D.
• Ashley Rogers
• Jenifer Lynn Rogers, RN
• Kristen Rogers
• Philo A Rogers
• Shalene Rogg, LPC-S

• General Practice Dentistry in Chandler, AZ
• Providers in Chandler, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.