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Active NPI 1750451225 Individual Practitioner Male Practitioner

Wayne Alvis Rockefeller , DOCTOR OF DENTAL SUR

Dentist - General Practice • Southfield, MI

Professional Overview & Biography Verified Profile Summary

Wayne Rockefeller, DOCTOR OF DENTAL SUR is a registered healthcare professional specializing in Dentist - General Practice in Southfield, MI. Practice services are available at 18591 W 10 MILE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18591 W 10 Mile Rd
Suite 4

Southfield, MI 48075

Telephone 2485695260
Fax 2485696219
Associated Practice Facility / Clinic
🏢 Onyx Family Dental Pc Facility NPI 1922272533

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Southfield, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
74 Specialists

Practicing in Southfield, MI (4360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 14823

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Youstina Melek , PA-C

Physician Assistant

NPI 1083469860

Physician Assistant (Certified)

Yasmine Kurishi

Physician Assistant

NPI 1164298618
Dr. Joshua Gibson , MD

Family Medicine

NPI 1194791889

Doctor of Medicine (M.D.)

Stacey Couch

Nurse Practitioner - Family

NPI 1215690458
Taylor Newhart , PA-C

Physician Assistant

NPI 1255160321

Physician Assistant (Certified)

NPI 1255195772

Doctor of Nursing Practice, Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 12, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2012

Registered at 18591 W 10 MILE RD, SUITE 4, SOUTHFIELD, MI 48075 (Tel: 2485695260)

📍
Updated Business Mailing Address January 12, 2012

Registered at 9541 JOSEPH CAMPAU, HAMTRAMCK, MI 48212 (Tel: 3139724700)

👤
Provider Name / Credentials Updated January 12, 2012

Recorded as WAYNE ROCKEFELLER, DOCTOR OF DENTAL SUR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2012

Dentist (License #14823 in MI)

🟢
Initial NPI Registration & Enumeration November 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750451225
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2006
Last Update: January 12, 2012
Sole Proprietor: No

Mailing Address

9541 Joseph Campau

Hamtramck, MI 48212

Phone: 3139724700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.