| NPI | 1104007384 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-11-16 |
| Last Updated | 2007-11-16 |
| Authorized Official | James Mcclung President Phone: 5403625900 |
| Mailing Address | Po Box 7889 Roanoke, VA 24019-0889 United States Phone: (540) 362-5900 | Fax: (540) 366-5131 📍 View Map |
| Primary Practice Address | 6027 Peters Creek Rd Roanoke, VA 24019-4029 United States Phone: (540) 362-5900 | Fax: (540) 366-5131 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 1223S0112X – Dentist, Oral and Maxillofacial Surgery | VA | 0401004673 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1104007384
Roanoke Oral Surgery, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1104007384. The primary specialty listed is Dentist, Oral and Maxillofacial Surgery. The organization is located in Roanoke, VA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-11-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104007384?
NPI 1104007384 belongs to Roanoke Oral Surgery, Inc., a Dentist, Oral and Maxillofacial Surgery in Roanoke, VA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104007384 active?
The current status of NPI 1104007384 in the NPPES registry is Active. The record was last updated on 2007-11-16.
What specialty is NPI 1104007384?
NPI 1104007384 is classified under the taxonomy Dentist, Oral and Maxillofacial Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104007384?
You can verify NPI 1104007384 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104007384?
The primary practice address on file for NPI 1104007384 is 6027 Peters Creek Rd, Roanoke, VA 24019-4029. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104007384 issued?
NPI 1104007384 was first issued (enumerated) on 2007-11-16. The NPPES record was last updated on 2007-11-16.
Practice Location Map
Roanoke Oral Surgery, Inc. is located at 6027 Peters Creek Rd, Roanoke, VA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Roanoke Oral Surgery, Inc.. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104007384. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist, Oral and Maxillofacial Surgery | 0401004673 | VA |