Individual
DR. RODNEY JOE ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4102 N MALL AVE, FAYETTEVILLE, AR 72703-4911
(479) 442-2424
(479) 442-9325
Mailing address
4102 N MALL AVE, FAYETTEVILLE, AR 72703-4911
(479) 442-2424
(479) 442-9325
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3136
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3136
LISCENSE NUMBER
AR
Enumeration date
01/09/2007
Last updated
07/08/2007
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