Rockefeller, Van Pelt

Rockefeller, Van Pelt is an individual health care provider with primary practice located at 1178 Grimes Bridge Rd Ste 100 , Roswell GA 30075-3935. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Rockefeller, Van Pelt can be contacted via phone (770) 992-7550.

Contact Information

Primary practice address
1178 Grimes Bridge Rd Ste 100 Roswell GA 30075-3935
Phone: (770) 992-7550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT9110 Georgia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X DN015157 Georgia

Profile Details

NPI number 1043408792
LBN Legal business name Rockefeller, Van Pelt
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2007
Last updated Aug 9th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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