Healthcare Provider Details

I. General information

NPI: 1326613803
Provider Name (Legal Business Name): ASHLY MAUREEN ROTHROCK DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2021
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

926 FRANKLIN BLVD
LEMOORE CA
93246-4500
US

IV. Provider business mailing address

1771 N NAPA DR
HANFORD CA
93230-9138
US

V. Phone/Fax

Practice location:
  • Phone: 559-998-4210
  • Fax:
Mailing address:
  • Phone: 217-714-9836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD011018
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: