Active NPIOrganization

Roark Dental Services Psc

Dentist, General Practice in Bayamon, Puerto Rico

NPI Number1124215470
Practice location
Carr 167 Km 22.6, Oficina Dental Mypenmercado Pitusa Bayamon, Bayamon, PR 00959
Fax
787-288-5994
Last updated
November 17, 2008

Roark Dental Services Psc is a healthcare organization based in Bayamon, PR. Roark Dental Services Psc practices in Bayamon, PR. The NPI Number for Roark Dental Services Psc is 1124215470 and holds a License No. 2379 (PR). The current practice location address for Roark Dental Services Psc is Carr 167 Km 22.6, Oficina Dental Mypenmercado Pitusa Bayamon, Bayamon, PR 00959 and can be reached out via phone at 787-288-5994 and via fax at 787-288-5994.

Provider Profile Details

NPI Number
1124215470
Provider Name
Roark Dental Services Psc
Provider Entity Type
Organization
Address
Carr 167 Km 22.6, Oficina Dental Mypenmercado Pitusa Bayamon, Bayamon, PR 00959
Phone Number
787-288-5994
Fax Number
787-288-5994
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Dominick Garrett Roark, DMD · Owner · 787-948-5500
Provider Enumeration Date
October 1, 2007
Last Update Date
November 17, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carr 167 Km 22.6
Oficina Dental Mypenmercado Pitusa Bayamon
Bayamon, PR 00959
Zip
00959
Phone Number
787-288-5994
Fax Number
787-288-5994
Bayamon, PR 00959Get directions →

Provider Business Mailing Address Details

Address
E-43 Alamo Drive
Guaynabo, PR 00969
City
Guaynabo
State
PR
Zip
00969

License Information

License Number
2379
License State
PR
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Roark Dental Services Psc?

The NPI number of Roark Dental Services Psc is 1124215470. It was assigned on October 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Roark Dental Services Psc?

Roark Dental Services Psc is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in PR under license number 2379.

Where does Roark Dental Services Psc practice?

The practice location is Carr 167 Km 22.6, Oficina Dental Mypenmercado Pitusa Bayamon, Bayamon, PR 00959. The office can be reached at 787-288-5994 (phone) or 787-288-5994 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124215470 directly on the NPPES registry website.

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