Clifton G Roaf & Marvin Q Caudle

Primary specialty

DentistTaxonomy code 122300000X

License

AR1961 Issued in AR

Legal business name

CLIFTON G ROAF & MARVIN Q CAUDLE

Practice address

1310 South Linden Street
Pine Bluff, AR 71603

Phone

(870) 536-4602

Fax

(870) 536-8604

NPI assigned

Jun 2, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Clifton G Roaf, D.D.S.

Title

Dentist

Phone

(870) 536-4602

Specialties & licenses 1

Addresses

Other names 1

• Roaf & Caudle Dental Office Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1457645863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SOUTH LINDEN STREET",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "71603",
            "telephone_number": "870-536-4602",
            "fax_number": "870-536-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SOUTH LINDEN STREET",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "71603",
            "telephone_number": "870-536-4602",
            "fax_number": "870-536-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTON G ROAF & MARVIN Q CAUDLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "ROAF",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "870-536-4602",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "AR1961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roaf & Caudle Dental Office",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Debra Doublet Clark, PA-C
• Derwin Clark
• Michael D Clark, DDS
• Shelby Danyelle Clements, B.A
• Johnny F Clendenin Jr., CRNA
• Clontz Enterprises Inc
• Jason B Cobb, MD
• Kay K Cogbill, MD
• Ray E Colclasure, D.D.S.
• Lori E Cole, CRNA

• Dentist in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.