Individual
DR. JEFFREY W ROCKACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
101 FOWLER RD, STE A, WARRENDALE, PA 15086-1114
(412) 920-5860
Mailing address
PO BOX 16008, PITTSBURGH, PA 15242
(412) 920-5860
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS041793
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
MD465831
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5N371
BCBS MEDICAL
AR
Enumeration date
08/31/2006
Last updated
08/23/2019
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