Provider Demographics
NPI:1821146408
Name:ROCKEY, DANA JOE (DMD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:JOE
Last Name:ROCKEY
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 1:122 N CORTEZ ST STE 302
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-3024
Mailing Address - Country:US
Mailing Address - Phone:928-235-6925
Mailing Address - Fax:928-237-2213
Practice Address - Street 1:122 N CORTEZ ST STE 302
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-3024
Practice Address - Country:US
Practice Address - Phone:928-235-6925
Practice Address - Fax:928-237-2213
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA326091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice