Provider Demographics
NPI:1821171224
Name:ROCKWELL, DAWN M (DMD)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:M
Last Name:ROCKWELL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2139 HIGHWAY 33
Mailing Address - Street 2:SUITE C
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-1740
Mailing Address - Country:US
Mailing Address - Phone:609-890-9000
Mailing Address - Fax:609-587-0230
Practice Address - Street 1:2139 HIGHWAY 33
Practice Address - Street 2:SUITE C
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-1740
Practice Address - Country:US
Practice Address - Phone:609-890-9000
Practice Address - Fax:609-587-0230
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJD10183741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice