Active NPIIndividual providerSole proprietor

Dr. Dominick Roark, DMD

Dentist, General Practice in Guaynabo, Puerto Rico

NPI Number1770688202
Practice location
E43 El Alamo Dr, Guaynabo, PR 00969-4542
Fax
787-288-5994
Last updated
July 8, 2007

Dominick Roark is a Dentist, General Practice based in Guaynabo, PR. Dominick Roark practices in Guaynabo, PR and has the professional credentials of DMD. The NPI Number for Dominick Roark is 1770688202 and holds a License No. 2379 (PR). The current practice location address for Dominick Roark is E43 El Alamo Dr, Guaynabo, PR 00969-4542 and can be reached out via phone at 787-288-5994 and via fax at 787-288-5994.

Provider Profile Details

NPI Number
1770688202
Provider Name
Dominick Roark
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
E43 El Alamo Dr, Guaynabo, PR 00969-4542
Phone Number
787-288-5994
Fax Number
787-288-5994
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Other Names
Dr. Dominick Roark, DMD (Professional Name)
Provider Enumeration Date
September 13, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
E43 El Alamo Dr
Guaynabo, PR 00969-4542
Zip
00969-4542
Phone Number
787-288-5994
Fax Number
787-288-5994
Guaynabo, PR 00969Get directions →

Provider Business Mailing Address Details

Address
E43 El Alamo Dr
Guaynabo, PR 00969-4542
City
Guaynabo
State
PR
Zip
00969-4542
Phone Number
787-288-5994
Fax Number
787-288-5994

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 Dr. Dominick Roark, DMD?

The NPI number of Dr. Dominick Roark, DMD is 1770688202. It was assigned on September 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Dominick Roark, DMD?

Dr. Dominick Roark, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in PR under license number 2379.

Where does Dr. Dominick Roark, DMD practice?

The practice location is E43 El Alamo Dr, Guaynabo, PR 00969-4542. 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 1770688202 directly on the NPPES registry website.

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