Provider Demographics
NPI:1699955955
Name:ROCA, ADAM JOSEPH (DDS)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:JOSEPH
Last Name:ROCA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3138 10TH ST N
Mailing Address - Street 2:#301
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-2160
Mailing Address - Country:US
Mailing Address - Phone:703-522-2600
Mailing Address - Fax:703-522-1957
Practice Address - Street 1:3138 10TH ST N
Practice Address - Street 2:#301
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-2160
Practice Address - Country:US
Practice Address - Phone:703-522-2600
Practice Address - Fax:703-522-1957
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-05
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014118211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice