Provider Demographics
NPI:1790709921
Name:ROCHFORD, JAMES W (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:W
Last Name:ROCHFORD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:651 ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08204-4637
Mailing Address - Country:US
Mailing Address - Phone:609-884-1993
Mailing Address - Fax:609-884-1963
Practice Address - Street 1:651 ROUTE 9
Practice Address - Street 2:
Practice Address - City:CAPE MAY
Practice Address - State:NJ
Practice Address - Zip Code:08204-4637
Practice Address - Country:US
Practice Address - Phone:609-884-1993
Practice Address - Fax:609-884-1963
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ109740OtherHORIZON
NJ1205404Medicaid