Individual
MR. STUART ALAN ROCKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3101 OAK GROVE RD, POPLAR BLUFF, MO 63901
(573) 785-7071
Mailing address
1125 HERSCHEL BESS BLVD STE 2, POPLAR BLUFF, MO 63901-3073
(573) 785-7071
(573) 785-0523
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AR2729
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113250608
—
AR
05
—
402553309
—
MO
Enumeration date
07/27/2006
Last updated
07/25/2018
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