# DR. KEVIN ROARK FAMILY DENTISTRY, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619781515
- **Authorized official:** DR. KEVIN ROARK DMD (DENTIST)
- **Authorized official phone:** (606) 634-6825

## Contact information

- **Practice address:** 172 PARKWAY PLAZA LOOP, WHITESBURG, KY 41858-7406
- **Practice address phone:** (606) 633-4251
- **Practice address fax:** (606) 633-7166
- **Mailing address:** 243 MOUNTAIN LAUREL TRL, JENKINS, KY 41537-7809
- **Mailing address phone:** (606) 634-6825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2025
- **Last updated:** 02/03/2025