Provider Demographics
NPI:1275634750
Name:ROCKE, PAUL ALFRED (DDS MS, PC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ALFRED
Last Name:ROCKE
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Gender:M
Credentials:DDS MS, PC
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Mailing Address - Street 1:1050 W COLFAX AVE
Mailing Address - Street 2:#G
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-2072
Mailing Address - Country:US
Mailing Address - Phone:303-690-3111
Mailing Address - Fax:303-730-0715
Practice Address - Street 1:1050 W COLFAX AVE
Practice Address - Street 2:#G
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-2072
Practice Address - Country:US
Practice Address - Phone:303-690-3111
Practice Address - Fax:303-730-0715
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
COCO 2751223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics