ROGUE PERIODONTICS & IMPLANT DENTISTRY
NPI 1437836343
Dentist - Periodontics in Medford, OR

Active since July 03, 2023
2930 E BARNETT RD, MEDFORD, OR 97504(541) 779-4501 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rogue Periodontics & Implant Dentistry NPPES

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

ROGUE PERIODONTICS & IMPLANT DENTISTRY (NPI 1437836343) is a healthcare organization registered as a periodontics in Medford, Oregon and active in the NPI registry since July 2023. The organization lists Kyle Malloy, Owner, as its authorized official.

NPPES Registry Identity

NPI1437836343
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameROGUE PERIODONTICS & IMPLANT DENTISTRY
Location Address2930 E BARNETT RDMedford, OR 97504-8309
Mailing Address2930 E Barnett RdMedford, OR 97504-8309 · (541) 779-4501
Organization SubpartNo
Authorized OfficialKyle MalloyOwner · (206) 718-4212
Enumeration DateJuly 3, 2023
NPPES CertifiedJuly 1, 2023
NPI 1437836343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

2930 E BARNETT RD, Medford, OR 97504

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

Dentist (Periodontics)
2930 E BARNETT RD
MEDFORD, OR 97504
Dentist (Periodontics)
2930 E BARNETT RD
MEDFORD, OR 97504
Dentist (Periodontics)
2930 E BARNETT RD
MEDFORD, OR 97504
Dentist (Periodontics)
2930 E BARNETT RD
MEDFORD, OR 97504
Dentist (Periodontics)
2930 E BARNETT RD
MEDFORD, OR 97504
Dentist (Periodontics)
2930 E BARNETT RD
MEDFORD, OR 97504

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 Rogue Periodontics & Implant Dentistry's NPI number?

The NPI number for Rogue Periodontics & Implant Dentistry is 1437836343. It was assigned to this organization in the NPPES registry on July 3, 2023.

Where is Rogue Periodontics & Implant Dentistry located?

Rogue Periodontics & Implant Dentistry is located at 2930 E Barnett Rd, Medford, OR 97504. The listed phone number is (541) 779-4501.

What is Rogue Periodontics & Implant Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Rogue Periodontics & Implant Dentistry was last updated on July 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.