ROANOKE ORAL SURGERY INC. NPI 1104007384

NPI Information

ROANOKE ORAL SURGERY, INC. is an oral and maxillofacial surgery dentist in Roanoke, VA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. ROANOKE ORAL SURGERY, INC. NPI is 1104007384. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6027 PETERS CREEK RD
ROANOKE, VA
ZIP 24019-029
Phone: (540) 362-5900
Fax: (540) 366-5131

The provider's authorized official is James T. Mcclung .
The authorized official title is President and has the following contact phone number (540) 362-5900.

The enumeration date for this NPI number is 11/16/2007 and was last updated on 11/16/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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