Healthcare Provider Details

I. General information

NPI: 1992812184
Provider Name (Legal Business Name): JOHN R ROKITA DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 W STATE ST
DOYLESTOWN PA
18901-3666
US

IV. Provider business mailing address

131 W STATE ST
DOYLESTOWN PA
18901-3666
US

V. Phone/Fax

Practice location:
  • Phone: 215-345-7272
  • Fax: 215-345-0883
Mailing address:
  • Phone: 215-345-7272
  • Fax: 215-345-0883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License NumberDS016813L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: