Provider Demographics
NPI:1295625416
Name:ROCKWELL, ALESIA ALFEROVA (DMD)
Entity type:Individual
Prefix:DR
First Name:ALESIA
Middle Name:ALFEROVA
Last Name:ROCKWELL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2717 SEVILLE BLVD APT 20204
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-1178
Mailing Address - Country:US
Mailing Address - Phone:484-219-2822
Mailing Address - Fax:
Practice Address - Street 1:23680 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-1571
Practice Address - Country:US
Practice Address - Phone:727-799-1010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN30705122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist