Rodney Joe Roark in Fayetteville - General Practice
Rodney Joe Roark - NPI 1407905698
Rodney Joe Roark is a General Practice in Fayetteville, Arkansas. Rodney Joe Roark practices all healthcare services and medical treatments related to General Practice. The NPI Number for Rodney Joe Roark is 1407905698. The last update date is 2007-07-08.
Rodney Joe Roark's current location address is 4102 N Mall Ave, Fayetteville, Arkansas. You can contact this provider via phone number 4794422424 and fax number 4794429325. The mailing address for Rodney Joe Roark is 4102 N Mall Ave, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rodney Joe Roark |
|---|---|
| Address | 4102 N Mall Ave, Fayetteville, Arkansas |
| Phone Number | 4794422424 |
| Fax Number | 4794429325 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1407905698 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4102 N Mall Ave |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 727034911 |
| Phone Number | 4794422424 |
| Fax Number | 4794429325 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3136 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3136 | AR | LISCENSE NUMBER |
Post Comment/ Review Below
What is the Rodney Joe Roark's 1407905698?
The Rodney Joe Roark's NPI (National Provider Identifier) Number is 1407905698. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Rodney Joe Roark?
The Rodney Joe Roark is physically situated at 4102 N Mall Ave, in the city of Fayetteville, state of AR, with the postal code 727034911.
What is Rodney Joe Roark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Rodney Joe Roark is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did Rodney Joe Roark receive its 1407905698 assignment from the Centers for Medicare & Medicaid Services?
The Rodney Joe Roark was assigned its 1407905698 on 2007-01-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Rodney Joe Roark's information last updated?
The Rodney Joe Roark's information was last updated on 2007-07-08.