Van Pelt Rockefeller, DMD is a
Dentist based in Roswell, Georgia. Van Pelt Rockefeller is licensed to practice in Georgia (license number DN015157) and his current practice location is
1178 Grimes Bridge Rd Ste 100, Roswell, Georgia. He can be reached at his office (for appointments etc.) via phone at
(770) 992-7550.
NPI number for Van Pelt Rockefeller is 1043408792 and his current mailing address is 2885 Stonecreek Road, Smyrna, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043408792.
Healthcare Provider's Profile
| Full Name | Van Pelt Rockefeller |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 1178 Grimes Bridge Rd Ste 100, Roswell, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1043408792
- Provider Enumeration Date: 10/09/2007
- Last Update Date: 08/09/2016
Medical Identifiers
Medical identifiers for Van Pelt Rockefeller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043408792 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT9110 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 122300000X | Dentist | DN015157 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Van Pelt Rockefeller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Van Pelt Rockefeller, DMD
2885 Stonecreek Road,
Smyrna, GA 30080
Ph: (317) 529-4047 | Van Pelt Rockefeller, DMD
1178 Grimes Bridge Rd Ste 100,
Roswell, GA 30075-3935
Ph: (770) 992-7550 |
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