Randell Scott Roark in Columbus - General Practice
Randell Scott Roark - NPI 1588628051
Randell Scott Roark is a General Practice in Columbus, Ohio. Randell Scott Roark practices all healthcare services and medical treatments related to General Practice. The NPI Number for Randell Scott Roark is 1588628051. The last update date is 2023-03-07.
Randell Scott Roark's current location address is 4241 Kimberly Pkwy, Columbus, Ohio. You can contact this provider via phone number 6148667445. The mailing address for Randell Scott Roark is 4241 Kimberly Pkwy, Columbus, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randell Scott Roark |
|---|---|
| Address | 4241 Kimberly Pkwy, Columbus, Ohio |
| Phone Number | 6148667445 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1588628051 |
|---|---|
| Provider Enumeration Date | 2006-04-13 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 4241 Kimberly Pkwy |
|---|---|
| City | Columbus |
| State | Ohio (OH) |
| Post Code | 432327225 |
| Phone Number | 6148667445 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 30-021772 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Randell Scott Roark by the Centers for Medicare & Medicaid Services (CMS)?
The Randell Scott Roark has been assigned the NPI (National Provider Identifier) 1588628051. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Randell Scott Roark is located?
The Randell Scott Roark is situated at the following address: 4241 Kimberly Pkwy, Columbus, OH, 432327225.
What is the area of specialization for Randell Scott Roark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Randell Scott Roark is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1588628051 to Randell Scott Roark?
The Centers for Medicare & Medicaid Services assigned the 1588628051 to Randell Scott Roark on 2006-04-13.
As of what date was the information pertaining to Randell Scott Roark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Randell Scott Roark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-07.
NPI Number: 1861495012
Address: 1009 North State Of Franklin Access Road, Johnson City, TN