GRAY DUCK DENTISTRY
NPI 1013369115
Clinic/Center - Dental in Fulton, MO

Active since July 13, 2016
1000 BLUFF ST, FULTON, MO 65251(573) 642-7234 Get Directions Write a Review

NPPES record last updated: July 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gray Duck Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAY DUCK DENTISTRY (NPI 1013369115) is a healthcare organization registered as a dental in Fulton, Missouri and active in the NPI registry since July 2016. The organization lists Teddy Kk Rogers, Director, as its authorized official.

NPPES Registry Identity

NPI1013369115
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTHEODORA KK ROGERS, DDS, PC
Location Address1000 BLUFF STFulton, MO 65251-2321
Mailing Address505 Preakness DrRaymore, MO 64083-8472
Organization SubpartNo
Authorized OfficialTeddy Kk RogersDirector · (816) 572-1973
Enumeration DateJuly 13, 2016
NPI 1013369115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1000 BLUFF ST, Fulton, MO 65251

Other Names 1

Doing Business AsGray Duck Dentistry

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1000 BLUFF ST
FULTON, MO 65251

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodora Kk Rogers, Dds, PC's NPI number?

The NPI number for Theodora Kk Rogers, Dds, PC is 1013369115. It was assigned to this organization in the NPPES registry on July 13, 2016. The provider is doing business as Gray Duck Dentistry.

Where is Theodora Kk Rogers, Dds, PC located?

Theodora Kk Rogers, Dds, PC is located at 1000 Bluff St, Fulton, MO 65251. The listed phone number is (573) 642-7234.

What is Theodora Kk Rogers, Dds, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Theodora Kk Rogers, Dds, PC accept?

Health plans from UnitedHealthcare list Theodora Kk Rogers, Dds, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodora Kk Rogers, Dds, PC was last updated on July 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.