| David Henry Dds And Randell Roark Dds Inc. | |
|
1041 Cricket Ln Mansfield OH 44906-4105 | |
| (419) 526-4249 | |
| Not Available |
| Full Name | David Henry Dds And Randell Roark Dds Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1041 Cricket Ln, Mansfield, Ohio |
| Authorized Official Name and Position | Randell Scott Roark (DENTIST/ VICE PRESIDENT) |
| Authorized Official Contact | 9105846894 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Henry Dds And Randell Roark Dds Inc. 1041 Cricket Ln Mansfield OH 44906-4105 Ph: (419) 526-4249 | David Henry Dds And Randell Roark Dds Inc. 1041 Cricket Ln Mansfield OH 44906-4105 Ph: (419) 526-4249 |
| NPI Number | 1497169932 |
|---|---|
| Provider Enumeration Date | 06/12/2014 |
| Last Update Date | 06/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497169932 | NPI | - | NPPES |
| 0076483 | Medicaid | OH | |
| 0489403 | Medicaid | OH | |
| 2860159 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21772 (Ohio) | Primary |
Third Street Community Clinic Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Park Ave W, Mansfield, OH 44902 Phone: 419-522-2239 | |
Andrew M. Gast, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Marion Ave Ste 201, Mansfield, OH 44903 Phone: 419-522-1837 Fax: 419-526-3927 | |
Mansfield Endodontics, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1245 S Trimble Rd, Mansfield, OH 44907 Phone: 419-756-2880 Fax: 419-775-8820 | |
Third Street Community Clinic Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Park Ave W, Mansfield, OH 44902 Phone: 419-522-2239 Fax: 419-525-6723 | |
Michael R Leech Dds And Associates, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 Lexington Ave, Mansfield, OH 44907 Phone: 419-756-1110 Fax: 419-756-1865 | |
Douglas E. Beilstein,d.d.s, Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1041 Cricket Ln, Mansfield, OH 44906 Phone: 419-526-4249 Fax: 419-526-2642 | |
Oakwood Oral And Maxillofacial Surgery, Christopher N. Beale, Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 Lexington Ave, Mansfield, OH 44907 Phone: 419-756-0711 Fax: 419-756-4886 |