Roark, Randell Scott

Roark, Randell Scott is an individual health care provider with primary practice located at 4241 Kimberly Pkwy , Columbus OH 43232-7225. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Roark, Randell Scott can be contacted via phone (614) 866-7445.

Contact Information

Primary practice address
4241 Kimberly Pkwy Columbus OH 43232-7225
Phone: (614) 866-7445
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30-021772 Ohio

Profile Details

NPI number 1588628051
LBN Legal business name Roark, Randell Scott
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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