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 practises 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 Not confirmed with CMS for 14 years — call before visiting
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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