Provider Demographics
NPI:1265869374
Name:JAMES W. ROKOS DDS MS PLLC
Entity type:Organization
Organization Name:JAMES W. ROKOS DDS MS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:ROKOS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:704-982-6312
Mailing Address - Street 1:701 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28001-3313
Mailing Address - Country:US
Mailing Address - Phone:704-982-6312
Mailing Address - Fax:704-983-7951
Practice Address - Street 1:701 N 2ND ST
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-3313
Practice Address - Country:US
Practice Address - Phone:704-982-6312
Practice Address - Fax:704-983-7951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC59521223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial PathologyGroup - Single Specialty