Van Pelt Rockefeller, DMD in Roswell, GA - Dentist

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.

Contact Information

	Van Pelt Rockefeller, DMD
	1178 Grimes Bridge Rd Ste 100, Roswell, GA 30075-3935
	(770) 992-7550
	Not Available

Healthcare Provider's Profile

Full Name	Van Pelt Rockefeller
Gender	Male
Speciality	Dentist
Location	1178 Grimes Bridge Rd Ste 100, Roswell, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

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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Van Pelt Rockefeller, DMD - in Roswell, GA