Provider Demographics
NPI:1871089755
Name:ROLON, ARIELLE (DDS)
Entity type:Individual
Prefix:DR
First Name:ARIELLE
Middle Name:
Last Name:ROLON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 STATE ROUTE 208 STE 4
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-4649
Mailing Address - Country:US
Mailing Address - Phone:516-410-4134
Mailing Address - Fax:
Practice Address - Street 1:1200 STATE ROUTE 208 STE 4
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-4649
Practice Address - Country:US
Practice Address - Phone:516-410-4134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-03
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY059771122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist