DR. WILLIAM KELLY ROARK DDS NPI 1699800417

NPI Information

DR. William Kelly Roark, DDS is an oral and maxillofacial surgery dentist in Fort Walton Beach, FL. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. William Kelly Roark, DDS NPI is 1699800417. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

202 HOSPITAL DR NE
FORT WALTON BEACH, FL
ZIP 32548-067
Phone: (850) 343-3131

The enumeration date for this NPI number is 2/22/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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