Rockwall Professionals LLC
Organization Active NPI Dentist · Rockwall, TX
NPI 1255083002 · NPPES record last updated Jan 24, 2022
Key facts
- NPI
- 1255083002
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- ROCKWALL PROFESSIONALS LLC
- Practice address
- 3140 Horizon Rd Ste 103
Rockwall, TX 75032-7819 - Phone
- (469) 651-1776
- NPI assigned
- Jan 24, 2022
- Organization subpart
- No
Authorized official
- Name
- Mitchell Weiland
- Title
- Assistant Controller
- Phone
- (608) 343-0818
National Provider Directory
Locations
3140 Horizon Rd
Ste 103
Rockwall, TX 75032
Phone (469) 208-5752
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
3140 Horizon Rd Ste 103
Rockwall, TX 75032-7819
Mailing address
8025 Excelsior Dr
Madison, WI 53717-1900
Phone (608) 343-0818
Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.