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CRICKET LANE DENTAL
NPI 1497169932
Dentist - General Practice in Mansfield, OH

Active since June 12, 2014
1041 CRICKET LN, MANSFIELD, OH 44906(419) 526-4249 Get Directions Write a Review

NPPES record last updated: June 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cricket Lane Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRICKET LANE DENTAL (NPI 1497169932) is a healthcare organization registered as a general practice in Mansfield, Ohio and active in the NPI registry since June 2014. The organization lists Randell Scott Roark, Dentist/ Vice President, as its authorized official.

NPPES Registry Identity

NPI1497169932
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDAVID HENRY DDS AND RANDELL ROARK DDS INC.
Location Address1041 CRICKET LNMansfield, OH 44906-4105
Mailing Address1041 Cricket LnMansfield, OH 44906-4105 · (419) 526-4249
Phone(419) 526-4249
Organization SubpartNo
Authorized OfficialRandell Scott RoarkDentist/ Vice President · (910) 584-6894
Enumeration DateJune 12, 2014
✔ NPI 1497169932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OH · 21772
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1041 CRICKET LN, Mansfield, OH 44906
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Other Names 1

Doing Business AsCricket Lane Dental

Other Identifiers 3

Medicaid0489403OH
Medicaid0076483OH
Medicaid2860159OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DREW FIGLEY D.D.S.
Dentist
1041 CRICKET LN
MANSFIELD, OH 44906
Richland County (419) 526-4249
DOUGLAS E. BEILSTEIN,D.D.S,
Dentist
1041 CRICKET LN
MANSFIELD, OH 44906
Richland County (419) 526-4249
DR. DOUGLAS EDWARD BEILSTEIN DDS
Dentist (General Practice)
1041 CRICKET LN
MANSFIELD, OH 44906
Richland County (419) 526-4249
DR. GAIL LAUREN HENRY D.D.S.
Dentist
1041 CRICKET LN
MANSFIELD, OH 44906
Richland County (419) 526-4249

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Henry Dds And Randell Roark Dds Inc.'s NPI number?

The NPI number for David Henry Dds And Randell Roark Dds Inc. is 1497169932. It was assigned to this organization in the NPPES registry on June 12, 2014. The provider is doing business as Cricket Lane Dental.

Where is David Henry Dds And Randell Roark Dds Inc. located?

David Henry Dds And Randell Roark Dds Inc. is located at 1041 Cricket Ln, Mansfield, OH 44906. The listed phone number is (419) 526-4249.

What is David Henry Dds And Randell Roark Dds Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for David Henry Dds And Randell Roark Dds Inc. was last updated on June 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.