VAN PELT ROCKEFELLER DMD NPI 1043408792

NPI Information

  • NPI: 1043408792
  • Provider Name: VAN PELT ROCKEFELLER, DMD
  • Classification: Dentist - 122300000X
  • Entity Type: Individual
  • Address: 1178 GRIMES BRIDGE RD STE 100
    ROSWELL, GA
    ZIP 30075
  • Phone: (770) 992-7550

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NPI Details

Van Pelt Rockefeller, DMD is a dentist in Roswell, GA. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. Van Pelt Rockefeller, DMD NPI is 1043408792. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1178 GRIMES BRIDGE RD STE 100
ROSWELL, GA
ZIP 30075-935
Phone: (770) 992-7550

The enumeration date for this NPI number is 10/9/2007 and was last updated on 8/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical TherapistPT9110GEORGIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3122300000XDentistDN015157GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1511I650028MEDICARE PINGEORGIA
2GRP4895MEDICARE PINGEORGIA
3511I650031MEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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