Roark Dental Services Psc in Bayamon - General Practice
Roark Dental Services Psc - NPI 1124215470
Roark Dental Services Psc is a General Practice in Bayamon, Puerto Rico. Roark Dental Services Psc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Roark Dental Services Psc is 1124215470. The last update date is 2008-11-17.
Roark Dental Services Psc's current location address is Carr 167 Km 22.6, Bayamon, Puerto Rico. You can contact this provider via phone number 7872885994 and fax number 7872885994. The mailing address for Roark Dental Services Psc is Carr 167 Km 22.6, Bayamon, Puerto Rico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Roark Dental Services Psc |
|---|---|
| Address | Carr 167 Km 22.6, Bayamon, Puerto Rico |
| Phone Number | 7872885994 |
| Fax Number | 7872885994 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Roark Garrett Dominick |
| Credentials | DMD |
| Telephone Number | 7879485500 |
NPI Number Detail
| NPI Number | 1124215470 |
|---|---|
| Provider Enumeration Date | 2007-10-01 |
| Last Updated Date | 2008-11-17 |
Provider Mailing Address Detail
| Address | Carr 167 Km 22.6 |
|---|---|
| City | Bayamon |
| State | Puerto Rico (PR) |
| Post Code | 959 |
| Phone Number | 7872885994 |
| Fax Number | 7872885994 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2379 |
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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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What is the unique identifier code issued to Roark Dental Services Psc by the Centers for Medicare & Medicaid Services?
The Roark Dental Services Psc has been assigned the NPI (National Provider Identifier) 1124215470. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Roark Dental Services Psc's physical address?
The Roark Dental Services Psc is physically located at Carr 167 Km 22.6, in the city of Bayamon, PR, with the postal code 959.
What is the Roark Dental Services Psc's specialty and taxonomy code?
The Roark Dental Services Psc's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124215470 to Roark Dental Services Psc?
The Centers for Medicare & Medicaid Services originally issued the 1124215470 to Roark Dental Services Psc on 2007-10-01.
As of what date were the Roark Dental Services Psc's details last updated?
The information pertaining to the Roark Dental Services Psc, including its address, specialty, and other details, was most recently updated on 2008-11-17.
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