Provider Demographics
NPI:1568480994
Name:ROLNICK, DAVID G (DMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:G
Last Name:ROLNICK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1179 NEWBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-1650
Mailing Address - Country:US
Mailing Address - Phone:516-221-2271
Mailing Address - Fax:516-221-6856
Practice Address - Street 1:1179 NEWBRIDGE RD
Practice Address - Street 2:
Practice Address - City:NORTH BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-1650
Practice Address - Country:US
Practice Address - Phone:516-221-2271
Practice Address - Fax:516-221-6856
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030762122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist