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General NPI Number Information
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NPI Number | 1205089554
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Entity Type | Organization
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Legal Business Name | DR. MICHAEL G. ROFE
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Dates
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Enumeration Date | 10/30/2008
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Last Update Date | 10/30/2008
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Provider Practice Location Address
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Address Line | 4770 ROCHESTER RD
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City | TROY
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State | MI
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Zip | 48085-4951
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Country | US
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Telephone | 248-528-3518
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Fax |
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Provider Business Mailing Address
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Address Line | 4770 ROCHESTER RD
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City | TROY
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State | MI
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Zip | 48085-4951
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Country | US
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Telephone | 248-528-3518
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Fax |
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Authorized Official
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Title or Position | OWNER AND DENTIST
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Name | DR. MICHAEL G. ROFE
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Credential | D.D.S
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Telephone | 248-528-3518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901010567
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License Number State | MI
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