# BRIAN R. ROCKEY D.D.S. INC

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

## Provider details

- **NPI number:** 1366637050
- **Authorized official:** DR. BRIAN R ROCKEY D.D.S. (DENTIST)
- **Authorized official phone:** (304) 845-0809

## Contact information

- **Practice address:** 200 TELETECH DRIVE, BUILDING 1 SUITE A, MOUNDSVILLE, WV 26041-2336
- **Practice address phone:** (304) 845-0809
- **Practice address fax:** (304) 845-0499
- **Mailing address:** 200 TELETECH DRIVE, BUILDING 1 SUITE A, MOUNDSVILLE, WV 26041-2336
- **Mailing address phone:** (304) 845-0809
- **Mailing address fax:** (304) 845-0499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 3458 | WV | Yes |

## Other

- **Enumeration date:** 09/06/2007
- **Last updated:** 09/06/2007