Dr. Theodore Everett Rocha
Dentist Dental Public Health
1 Pinckney Blvd Naval Hospital Beaufort, Attn:prof Affairs Coordinator
Beaufort
, South Carolina 29902-6122
Dr. Theodore Everett Rocha
Dentist Dental Public Health
1 Pinckney Blvd Naval Hospital Beaufort, Attn:prof Affairs Coordinator
Beaufort
, South Carolina 29902-6122
(904) 542-7200
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About
Features
Specialties
- Dentist
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Theodore Everett Rocha
- Bldg. H 2005 Knight Lane Navy Medicine Support Comm Attn: Medical Staff Services
- Jacksonville, FL
- Zip : 32212-0140
- Phone : (904) 542-7200
Second Address
- Dr. Theodore Everett Rocha
- 1 Pinckney Blvd Naval Hospital Beaufort, Attn:prof Affairs Coordinator
- Beaufort, SC
- Zip : 29902-6122
- Fax : (843) 228-5196
- Phone : (843) 228-5577
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | 26281 | CA |
| N | 1223D0001X | Dental Public Health | 26281 | CA |
National Provider Identifier
| NPI | 1124001854 |
|---|---|
| Provider Name | Dr. Theodore Everett Rocha |
| First Address | Jacksonville, FL 32212-0140 |
| Second Address | Beaufort, SC 29902-6122 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/11/2005 |
| Last Update Date | 08/02/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000OTH | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.