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VALLEY ORAL SURGERY P.C. NPI 1891976148


NPI Information

NPI: 1891976148
Provider Name: VALLEY ORAL SURGERY, P.C.
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
4437 STARKEY RD STE B
ROANOKE, VA
ZIP 24018
Phone: (540) 774-5900
Get Directions

VALLEY ORAL SURGERY, P.C. is an oral and maxillofacial surgery dentist in Roanoke, VA. The provider is the specialty of dentistry which includes 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. VALLEY ORAL SURGERY, P.C. NPI is 1891976148. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4437 STARKEY RD STE B
ROANOKE, VA
ZIP 24018-618
Phone: (540) 774-5900
Fax: (540) 776-3496

The provider's authorized official is Caroline D Shell .
The authorized official title is Office Manager and has the following contact phone number (540) 774-5900.

The enumeration date for this NPI number is 11/15/2007 and was last updated on 3/11/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery0401005671VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C09251MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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