# MAULDIN & ROKOS, DDS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285709733
- **Authorized official:** DR. JMAES W ROKOS DDS (OWNER, SECRETARY, TREASURER)
- **Authorized official phone:** (704) 982-6312

## Contact information

- **Practice address:** 701 N 2ND ST, ALBEMARLE, NC 28001-3313
- **Practice address phone:** (704) 982-6312
- **Mailing address:** 701 N 2ND ST, ALBEMARLE, NC 28001-3313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5952 | NC | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02614 | BLUE CROSS BLUE SHIELD | NC |
| 05 | — | 8902614 | — | NC |