Cricket Lane Dental is a Dental Clinic in Mansfield, Ohio. It is located at 1041 Cricket Ln, Mansfield, OH and its contact number is 419-526-4249. The authorized person for Cricket Lane Dental is Dr. Randell Scott Roark
who is Dentist/ Vice President of the clinic and their contact number is 910-584-6894. Other organizations associated with this clinic are Douglas E. Beilstein,d.d.s,, David Henry Dds And Randell Roark Dds Inc., The primary license number for Cricket Lane Dental is 21772 (General Practice) in Ohio. Cricket Lane Dental Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Cricket Lane Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Cricket Lane Dental
Specialization:
General Practice Dentistry
Clinic Address:
1041 Cricket Ln, Mansfield, Ohio, 44906-4105
Phone:
419-526-4249
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Randell Scott Roark
Position:
Dentist/ Vice President
Contact Number:
910-584-6894
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Cricket Lane Dental clinic are as mentioned below.
NPI Number:
1497169932
NPI Enumeration Date:
12 Jun, 2014
NPI Last Update On:
12 Jun, 2014
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Douglas E. Beilstein,d.d.s,
Dentistry
1306017371
David Henry Dds And Randell Roark Dds Inc.
General Practice Dentistry
1497169932
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Cricket Lane Dental are as mentioned below.
Specialization
License Number
State
Status
General Practice
21772
Ohio
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0076483
Medicaid
Ohio
0489403
Medicaid
Ohio
2860159
Medicaid
Ohio
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Cricket Lane Dental 1041 Cricket Ln, Mansfield, Ohio
Zip:
44906-4105
Phone Number:
419-526-4249
Patients can reach Cricket Lane Dental at 1041 Cricket Ln, Mansfield, Ohio or can call to book an appointment on 419-526-4249. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.