Provider Demographics
NPI:1871640508
Name:PAUL A. ROCKE
Entity Type:Organization
Organization Name:PAUL A. ROCKE
Other - Org Name:PAUL A. ROCKE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ALFRED
Authorized Official - Last Name:ROCKE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-730-7002
Mailing Address - Street 1:200 W COUNTY LINE RD STE 340
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2342
Mailing Address - Country:US
Mailing Address - Phone:303-730-7002
Mailing Address - Fax:303-730-0715
Practice Address - Street 1:200 W COUNTY LINE RD STE 340
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80129-2342
Practice Address - Country:US
Practice Address - Phone:303-730-7002
Practice Address - Fax:303-730-0715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO275305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization