| Doctor Name: | RICHARD R. ROLLE |
| NPI Number: | 1174650527 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DDS |
| License Number: | D-8950 |
| Business Practice Address: | 9615 Caldwell Commons Cir Suite B Cornelius, NC - 280318187 |
| Business Phone Number: | 7048929500 |
| Business Fax Number: | |
| Mailing Address: | 229 Medical Park Rd, Suite 310 MOORESVILLE |
| State: | NC |
| Postal Code: | 281178543 |
| Phone Number: | 7047990771 |
| Fax Number: | 7047992941 |
| NPI Enumeration Date: | 02/27/2007 |
| NPI Last Update Date: | 11/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204E00000X |
| License Number: | D-8950 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Oral & Maxillofacial Surgery |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |