MEDICARE: DR. ALEXIS DANIELLE ROLLINS DDS

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	122300000X	Dentist	31066	MT

General Provider Information

NPI Number	:	1659074268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXIS DANIELLE ROLLINS DDS

Provider Business Mailing Address
First Line	:	1827 E GRANDVIEW DR
Second Line	:
City	:	COEUR D ALENE
State	:	ID
Zip	:	83815-7082
Country	:	US
Telephone Number	:	208-819-8212
Fax Number	:

Provider Business Practice Location Address
First Line	:	3256 COLONIAL DR
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601-8638
Country	:	US
Telephone Number	:	406-443-3747
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2023
Last Update Date	:	01/09/2026

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