David Henry Dds And Randell Roark Dds Inc., NPI 1497169932
General Practice Dentistry in Mansfield, OH, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1497169932 |
| NPI Entity Type | Organization |
| Provider Name |
David Henry Dds And Randell Roark Dds Inc.
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1041 Cricket Ln, Mansfield, OH, US |
| Provider Mailing Address | 1041 Cricket Ln, Mansfield, OH, US, 449064105 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DR. DDS Randell Scott Roark |
| Official Position | DENTIST/ VICE PRESIDENT |
| Phone | 910-584-6894 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | General Practice Dentistry |
| Classification | |
| Group | |
| License No. | 21772 |
| License State | OH |
| Description | A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 0076483 | OH | MEDICAID | 05 |
| 0489403 | OH | MEDICAID | 05 |
| 2860159 | OH | MEDICAID | 05 |
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