Roslyn Faulk
Individual provider Active NPI Dental Assistant · Frot Polk, LA
NPI 1306298997 · NPPES record last updated Jul 7, 2016
Key facts
- NPI
- 1306298997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Assistant 126800000X
- Practice address
- 7223 Mississippi Avenut
Frot Polk, LA 71459 - Phone
- (337) 531-4940
- NPI assigned
- Jul 7, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | Yes |
Addresses
Primary practice location
7223 Mississippi Avenut
Frot Polk, LA 71459
Mailing address
7223 Mississippi Avenut
Frot Polk, LA 71459
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.