Organization
ROCKIN SMILES DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE GRAVES (OFFICE MANAGER)
(931) 488-8544
Entity
Organization
Contact information
Practice address
154 E BOCKMAN WAY, SPARTA, TN 38583-2036
(931) 488-8544
Mailing address
1156 BUFFALO VALLEY RD, COOKEVILLE, TN 38501-4463
(801) 259-1833
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
02/09/2022
Last updated
03/15/2022
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