Provider Demographics
NPI:1013666163
Name:ROX DENTAL PARTNERS, PLLC
Entity Type:Organization
Organization Name:ROX DENTAL PARTNERS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MAGGIO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:615-624-6299
Mailing Address - Street 1:1509 POST OAK PL
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76262-9073
Mailing Address - Country:US
Mailing Address - Phone:817-899-7711
Mailing Address - Fax:
Practice Address - Street 1:2706 OLD FORT PKWY STE E
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-4253
Practice Address - Country:US
Practice Address - Phone:615-624-6299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-23
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty