Van Pelt Rockefeller in Roswell - Dentist
Van Pelt Rockefeller - NPI 1043408792
Van Pelt Rockefeller is a Dentist in Roswell, Georgia. Van Pelt Rockefeller practices all healthcare services and medical treatments related to Dentist. The NPI Number for Van Pelt Rockefeller is 1043408792. The last update date is 2016-08-09.
Van Pelt Rockefeller's current location address is 1178 Grimes Bridge Rd Ste 100, Roswell, Georgia. You can contact this provider via phone number 7709927550. The mailing address for Van Pelt Rockefeller is 1178 Grimes Bridge Rd Ste 100, Roswell, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Van Pelt Rockefeller |
|---|---|
| Address | 1178 Grimes Bridge Rd Ste 100, Roswell, Georgia |
| Phone Number | 7709927550 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1043408792 |
|---|---|
| Provider Enumeration Date | 2007-10-09 |
| Last Updated Date | 2016-08-09 |
Provider Mailing Address Detail
| Address | 1178 Grimes Bridge Rd Ste 100 |
|---|---|
| City | Roswell |
| State | Georgia (GA) |
| Post Code | 300753935 |
| Phone Number | 7709927550 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN015157 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique provider identifier assigned to Van Pelt Rockefeller?
The Van Pelt Rockefeller has been issued the NPI (National Provider Identifier) 1043408792 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Van Pelt Rockefeller?
The Van Pelt Rockefeller is situated at 1178 Grimes Bridge Rd Ste 100, in the city of Roswell, state of GA, with the zip code 300753935.
What is Van Pelt Rockefeller's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Van Pelt Rockefeller is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Van Pelt Rockefeller receive its 1043408792 assignment from the Centers for Medicare & Medicaid Services?
The Van Pelt Rockefeller was assigned its 1043408792 by the Centers for Medicare & Medicaid Services on 2007-10-09.
As of what date were the Van Pelt Rockefeller's details last updated?
The information pertaining to the Van Pelt Rockefeller, including its address, specialty, and other details, was most recently updated on 2016-08-09.