Organization
ROCK DENTAL TENNESSEE PLLC
Active
Other names
Westrock Orthodontics, Dr. Edward Perdue Pediatric Dentistry, Leap Kids Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARK L DAKE DDS, MBR (OWNER)
(501) 462-2062
Entity
Organization
Contact information
Practice address
6551 STAGE OAKS DR STE 2, BARTLETT, TN 38134-3895
(901) 386-5800
(501) 781-2778
Mailing address
PO BOX 3450, LITTLE ROCK, AR 72203-3450
(501) 781-2777
(501) 781-2778
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
01/06/2021
Last updated
01/20/2026
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