# MICHAEL K. ROLLERT, DDS, LLC

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

## Provider details

- **NPI number:** 1568752426
- **Authorized official:** DR. MICHAEL KENT ROLLERT DDS (OWNER)
- **Authorized official phone:** (303) 503-5039

## Contact information

- **Practice address:** 2372 S HUMBOLDT ST, DENVER, CO 80210-5113
- **Practice address phone:** (303) 503-5039
- **Mailing address:** 2372 S HUMBOLDT ST, DENVER, CO 80210-5113
- **Mailing address phone:** (303) 503-5039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 7699 | CO | Yes |

## Other

- **Enumeration date:** 04/13/2011
- **Last updated:** 04/13/2011