Individual provider · Type 1 NPI

Wayne Alvis Rockefeller Sr., DOCTOR OF DENTAL SUR

General Practice Dentistry · Southfield, MI

NPI number 1750451225 Active

Practice location

18591 W 10 Mile Rd, Suite 4
Southfield, MI 48075

Call (248) 569-5260 Map

Fax (248) 569-6219

Mailing address

9541 Joseph Campau
Hamtramck, MI 48212

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X14823 (MI)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1750451225

Wayne Alvis Rockefeller Sr., DOCTOR OF DENTAL SUR's National Provider Identifier is 1750451225, issued on Nov 9, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Southfield, MI. The record was last updated on Jan 12, 2012.