VAN PELT ROCKEFELLER DMD
NPI 1043408792
Dentist in Roswell, GA

Active since October 09, 2007
1178 GRIMES BRIDGE RD STE 100, ROSWELL, GA 30075(770) 992-7550 Get Directions Write a Review

NPPES record last updated: August 9, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Van Pelt Rockefeller Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VAN PELT ROCKEFELLER DMD (NPI 1043408792) is an individual dentist in Roswell, Georgia, licensed in Georgia (DN015157) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1043408792
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameVAN PELT ROCKEFELLERCredential: DMD
Location Address1178 GRIMES BRIDGE RD STE 100Roswell, GA 30075-3935
Mailing Address2885 Stonecreek RoadSmyrna, GA 30080 · (317) 529-4047
Sole ProprietorNo
Enumeration DateOctober 9, 2007
Last NPPES UpdateAugust 9, 2016
NPI 1043408792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in GA · DN015157
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedPhysical TherapistTaxonomy 225100000X · License PT9110 (GA)
1178 GRIMES BRIDGE RD STE 100, Roswell, GA 30075

Other Identifiers 3

Medicare PIN511I650028GA
Medicare PINGRP4895GA
Medicare PIN511I650031GA

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Van Rockefeller's NPI number?

The NPI number for Van Rockefeller is 1043408792. It was assigned to this individual provider in the NPPES registry on October 9, 2007.

Where is Van Rockefeller located?

Van Rockefeller practices at 1178 Grimes Bridge Rd Ste 100, Roswell, GA 30075. The listed phone number is (770) 992-7550.

What is Van Rockefeller's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Van Rockefeller accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Van Rockefeller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Van Rockefeller was last updated on August 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.