Provider Demographics
NPI:1982019048
Name:ROARK, SARAH ASHLEY (DMD)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ASHLEY
Last Name:ROARK
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 E MAIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-2550
Mailing Address - Country:US
Mailing Address - Phone:606-269-8939
Mailing Address - Fax:
Practice Address - Street 1:212 E MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-2550
Practice Address - Country:US
Practice Address - Phone:615-814-4884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-27
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN100641223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics