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Organization
MAULDIN & ROKOS, DDS, PA
Active
Organization
MAULDIN & ROKOS, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JMAES W ROKOS DDS (OWNER, SECRETARY, TREASURER)
(704) 982-6312
Entity
Organization
Contact information
Practice address
701 N 2ND ST, ALBEMARLE, NC 28001-3313
(704) 982-6312
Mailing address
701 N 2ND ST, ALBEMARLE, NC 28001-3313
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5952
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02614
BLUE CROSS BLUE SHIELD
NC
05
—
8902614
—
NC
Enumeration date
11/21/2006
Last updated
08/22/2020
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