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Organization

MAULDIN & ROKOS, DDS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JMAES W ROKOS DDS (OWNER, SECRETARY, TREASURER)
(704) 982-6312
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5952
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02614
BLUE CROSS BLUE SHIELD
NC
05
8902614
NC
Enumeration date
11/21/2006
Last updated
08/22/2020
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