Van Pelt Rockefeller, DMD

Dentist · Roswell, GA

Individual Active NPI

NPI number 1043408792

Practice location

1178 Grimes Bridge Rd Ste 100
Roswell, GA 30075-3935
Phone
(770) 992-7550

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NPI record

NPI
1043408792
Entity type
Individual (Type 1)
Enumeration date
October 9, 2007
Last updated
August 9, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN015157 GA
Physical Therapist 225100000X PT9110 GA
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

2885 Stonecreek Road
Smyrna, GA 30080
Phone
(317) 529-4047

About Dr. Rockefeller

Van Pelt Rockefeller, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1178 Grimes Bridge Rd Ste 100, Roswell, GA 30075-3935. The NPI number 1043408792 was assigned on October 9, 2007 and the record was last updated on August 9, 2016.

Dr. Rockefeller lists 2 licenses in the registry: #DN015157 (GA) for Dentist; #PT9110 (GA) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Van Pelt Rockefeller, DMD?

The NPI number is 1043408792.

What is the phone number of Dr. Rockefeller?

The phone number listed for the practice location is (770) 992-7550.

Where is Dr. Rockefeller located?

1178 Grimes Bridge Rd Ste 100, Roswell, GA 30075-3935.

What is the taxonomy code for Dr. Rockefeller?

The primary taxonomy code is 122300000X – Dentist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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