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Dr. Wayne Alvis Rockefeller SR., DOCTOROFDENTALSUR
General Practice Dentistry in Southfield, Michigan
NPI 1750451225

Wayne Alvis Rockefeller SR. is a General Practice Dentistry based in Hamtramck, MI and is specialized in General Practice. Wayne Alvis Rockefeller SR. practices in Southfield, MI and has the professional credentials of DOCTOROFDENTALSUR. The NPI Number for Wayne Alvis Rockefeller SR. is 1750451225 and holds a License No. 14823 (Michigan).

The current practice location address for Wayne Alvis Rockefeller SR. is 18591 W 10 Mile Rd, Southfield, MI and can be reached out via phone at 248-569-5260 and via fax at 248-569-6219.

Location: 18591 W 10 Mile Rd, Southfield, MI, 48212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750451225
Provider Name
Wayne Alvis Rockefeller SR.
Credential
DOCTOROFDENTALSUR
Provider Entity Type
Individual
Gender
Male
Address
18591 W 10 Mile Rd, Southfield, MI, 48212
Phone Number
248-569-5260
Fax Number
248-569-6219
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
18591 W 10 Mile Rd
City
Southfield
State
Michigan
Zip
48075
Phone Number
248-569-5260
Fax Number
248-569-6219
person
Provider Business Mailing Address Details
Address
18591 W 10 Mile Rd
City
Southfield
State
Michigan
Zip
48075
Phone Number
248-569-5260
Fax Number
248-569-6219
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
14823 (Michigan)
Definition
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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