Provider Demographics
NPI:1942285838
Name:BABINEC, ROCCO MICHAEL (DO)
Entity Type:Individual
Prefix:DR
First Name:ROCCO
Middle Name:MICHAEL
Last Name:BABINEC
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PSC 557
Mailing Address - Street 2:BOX 1546
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96379-1546
Mailing Address - Country:JP
Mailing Address - Phone:01181611-746-5615
Mailing Address - Fax:01181098-737-1156
Practice Address - Street 1:PSC 557
Practice Address - Street 2:BOX 1546
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96379-1546
Practice Address - Country:JP
Practice Address - Phone:01181611-746-5615
Practice Address - Fax:01181098-737-1156
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 102421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice