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

Dr. Wayne Alvis Rockefeller Sr., DOCTOROFDENTALSUR

Individual provider General Practice Dentistry · NPI 1750451225

Dr. Wayne Alvis Rockefeller Sr., DOCTOROFDENTALSUR is a General Practice Dentistry in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006

Practice location Address checks out

18591 W 10 Mile Rd Ste 4
Southfield, MI 48075
Phone: (248) 569-5260
Fax: (248) 569-6219
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 14823 (MI)

Record details

NPI number1750451225
Entity typeIndividual (Type 1)
GenderMale
Credentials DOCTOROFDENTALSUR
Sole proprietorNo
NPI enumeratedNovember 9, 2006
Last updated in NPPESJanuary 12, 2012

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