Rockino, Samuel William

Rockino, Samuel William is an sole proprietor health care provider with primary practice located at 105 3Rd Street N.E. , Lake Preston SD 57249-0485. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rockino, Samuel William can be contacted via phone (605) 847-4600.

Contact Information

Primary practice address
105 3Rd Street N.E. Lake Preston SD 57249-0485
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X M-377 South Dakota

Profile Details

NPI number 1447340989
LBN Legal business name Rockino, Samuel William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447340989 NPPES
South Dakota MEDICAID 7800810

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