Provider Demographics
NPI:1598414658
Name:ROX DENTAL PARTNERS, PLLC
Entity Type:Organization
Organization Name:ROX DENTAL PARTNERS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MAGGIO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:615-444-2262
Mailing Address - Street 1:1509 POST OAK PL
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76262-9073
Mailing Address - Country:US
Mailing Address - Phone:817-899-7711
Mailing Address - Fax:
Practice Address - Street 1:1037 W MAIN ST STE E
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-3356
Practice Address - Country:US
Practice Address - Phone:615-444-2262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty