Provider Demographics
NPI:1750408753
Name:ROCK, HOWARD SIDNEY (DDS)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:SIDNEY
Last Name:ROCK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 DEHART ST
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-5211
Mailing Address - Country:US
Mailing Address - Phone:973-538-4284
Mailing Address - Fax:973-538-0258
Practice Address - Street 1:31 DEHART ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-5211
Practice Address - Country:US
Practice Address - Phone:973-538-4284
Practice Address - Fax:973-538-0258
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D1008551001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice