P Praxis·MD
● Active Type 1 · Individual

Van Pelt Rockefeller, DMD

Dentist·Roswell, GA· NPI 1043408792 · Enumerated 2007 · 18 years on NPI
Rockefeller is 1 of 40 dentist providers in Roswell and 1 of 2660 in Georgia.
NPI age
18 years
Enumerated 2007-10-09
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-08-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2660 active dentist providers in Georgia.

NPI age
18 years
↑ 4 yr above median (14 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
2
In the 16% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-10Enumerated in NPPES
2007 2026

Where they practice

Practice location
1178 Grimes Bridge Rd Ste 100
Roswell, GA 300753935
📞 7709927550
Mailing address
2885 Stonecreek Road
Smyrna, GA 30080
📞 3175294047

Specialties

  • Dentist Primary
    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...
    GA license #DN015157 taxonomy 122300000X
  • Physical Therapist
    Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
    GA license #PT9110 taxonomy 225100000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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