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General NPI Number Information
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NPI Number | 1295414886
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Entity Type | Organization
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Legal Business Name | ROLFES DENTAL PLLC
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Dates
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Enumeration Date | 07/12/2023
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 1625 20TH ST
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City | VERO BEACH
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State | FL
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Zip | 32960-3565
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Country | US
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Telephone | 772-567-7889
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Fax |
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Provider Business Mailing Address
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Address Line | 1625 20TH ST
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City | VERO BEACH
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State | FL
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Zip | 32960-3565
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Country | US
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Telephone | 772-567-7889
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MATTHEW ROLFES
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Credential | DMD
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Telephone | 772-567-7889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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