William Kelly Roark in Fort Walton Beach - Oral And Maxillofacial Surgery
William Kelly Roark - NPI 1699800417
William Kelly Roark is a Oral And Maxillofacial Surgery in Fort Walton Beach, Florida. William Kelly Roark practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for William Kelly Roark is 1699800417. The last update date is 2007-07-08.
William Kelly Roark's current location address is 202 Hospital Dr Ne, Fort Walton Beach, Florida. You can contact this provider via phone number 8503433131. The mailing address for William Kelly Roark is 202 Hospital Dr Ne, Fort Walton Beach, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | William Kelly Roark |
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Address | 202 Hospital Dr Ne, Fort Walton Beach, Florida |
Phone Number | 8503433131 |
Fax Number | |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1699800417 |
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Provider Enumeration Date | 2007-02-22 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 202 Hospital Dr Ne |
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City | Fort Walton Beach |
State | Florida (FL) |
Post Code | 325485067 |
Phone Number | 8503433131 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | 2595 |
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Post Comment/ Review Below
What is the unique identifier code issued to William Kelly Roark by the Centers for Medicare & Medicaid Services (CMS)?
The William Kelly Roark has been assigned the NPI (National Provider Identifier) 1699800417. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of William Kelly Roark?
The William Kelly Roark is situated at 202 Hospital Dr Ne, in the city of Fort Walton Beach, state of FL, with the zip code 325485067.
What is William Kelly Roark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for William Kelly Roark is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1699800417 to William Kelly Roark?
The William Kelly Roark received its 1699800417 assignment from the Centers for Medicare & Medicaid Services on 2007-02-22.
As of what date were the details pertaining to William Kelly Roark last refreshed?
The information related to the William Kelly Roark, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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