| Rockwell Dental | |
|
1125 Herschel Bess Blvd Suite 2 Poplar Bluff MO 63901-3071 | |
| (573) 785-7071 | |
| (573) 785-0523 |
| Full Name | Rockwell Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1125 Herschel Bess Blvd, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Stuart Alan Rockwell (OWNER/DENTIST) |
| Authorized Official Contact | 5737857071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockwell Dental 1125 Herschel Bess Blvd Suite 2 Poplar Bluff MO 63901-3071 Ph: (573) 785-7071 | Rockwell Dental 1125 Herschel Bess Blvd Suite 2 Poplar Bluff MO 63901-3071 Ph: (573) 785-7071 |
| NPI Number | 1568885762 |
|---|---|
| Provider Enumeration Date | 01/24/2014 |
| Last Update Date | 01/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568885762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2013004584 (Missouri) | Primary |
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