MEDICARE: MICHAEL D. ROLFES D.D.S.

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
1	1223G0001X	General Practice Dentistry	18039	OH

General Provider Information

NPI Number	:	1215141585
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL D. ROLFES D.D.S.

Provider Business Mailing Address
First Line	:	7729 MONTGOMERY RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-4201
Country	:	US
Telephone Number	:	513-793-1241
Fax Number	:	513-793-0221

Provider Business Practice Location Address
First Line	:	7729 MONTGOMERY RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-4201
Country	:	US
Telephone Number	:	513-793-1241
Fax Number	:	513-793-0221

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. MICHAEL D. ROLFES
Credential	:	D.D.S.
Telephone Number	:	513-793-1241

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	08/22/2020

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