Richard R. Rolle Jr., DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

9406 Issued in NC

Practice address

9615 Caldwell Commons Cir
Suite B
Cornelius, NC 28031-8187

Phone

(704) 892-9500

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hero Ventures PLLC

  • Certified Registered Nurse Anesthetist
  • Charlotte, NC
  • NPI 1235476235
  NPD (past)
• Iredell Oral & Facial Surgery PC

  dba Johnson Oral Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Mooresville, NC
  • NPI 1639353659
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1174650527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 MEDICAL PARK RD",
            "address_2": "SUITE 310",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178543",
            "telephone_number": "704-799-0771",
            "fax_number": "704-799-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9615 CALDWELL COMMONS CIR",
            "address_2": "SUITE B",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318187",
            "telephone_number": "704-892-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3420 Warm Springs Ave",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321630580",
            "country_code": "US",
            "telephone_number": "352-689-1130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLLE",
        "first_name": "RICHARD",
        "middle_name": "R.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN19302",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MA",
            "license": "D-8950",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "9406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Robertson, P.T.
• Cecile Theresa Robes, DO
• Robert Lee Robinson
• Jannette Rodriguez, DC
• Stephanie Lynn Roffey, LCSW
• Rooted Family Counseling, PLLC
• Anna Maria Goransdotter Rosenlind, DC
• Kevin Ross, LCMHCA
• Tiffani Ross, CMF
• Jackson Thomas Royster

• Oral and Maxillofacial Surgery (Dentist) in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.