Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Henry J Antolak DMD PC

Organization Dentist · NPI 1033305511

Henry J Antolak DMD PC is a Dentist in Rolla, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1810 E 10th St
Rolla, MO 65401-4603
Phone: (573) 364-1821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DE13190 (MO)

Record details

NPI number1033305511
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christy Burke — Office Manager · (573) 364-1821
Other names Forum Dental
NPI enumeratedSeptember 19, 2007
Last updated in NPPESSeptember 19, 2007
Mailing address1810 E 10th St, Rolla, MO 65401-4603

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