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NPI Code Detail

MEDICARE: DR. ROY A ROCKMAN DDS

MEDICARE: DR. ROY A ROCKMAN DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric DentistryDNF000308GA
21223P0221XPediatric DentistryDNCS000195GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053350694
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROY A ROCKMAN DDS
Provider Business Mailing Address
First Line : 1430 JOHN WESLEY GILBERT DRIVE GC-1012
Second Line :
City : AUGUSTA
State : GA
Zip : 30912-0001
Country : US
Telephone Number : 706-721-7913
Fax Number : 706-721-6778
Provider Business Practice Location Address
First Line : 1430 JOHN WESLEY GILBERT DRIVE
Second Line :
City : AUGUSTA
State : GA
Zip : 30912-1001
Country : US
Telephone Number : 706-721-2716
Fax Number : 706-721-6778
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 02/19/2026

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Directions to “ DR. ROY A ROCKMAN DDS” Practice Location

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