| Southwest Virginia Oral & Maxillofacial Surgery, Pllc | |
|
3580 Keagy Rd Sw Roanoke VA 24018-1152 | |
| (540) 989-5257 | |
| (540) 989-5259 |
| Full Name | Southwest Virginia Oral & Maxillofacial Surgery, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 3580 Keagy Rd Sw, Roanoke, Virginia |
| Authorized Official Name and Position | Samuel E Scroggins (LLC MEMBER) |
| Authorized Official Contact | 5409895257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Virginia Oral & Maxillofacial Surgery, Pllc 3580 Keagy Rd Sw Roanoke VA 24018-1152 Ph: (540) 989-5257 | Southwest Virginia Oral & Maxillofacial Surgery, Pllc 3580 Keagy Rd Sw Roanoke VA 24018-1152 Ph: (540) 989-5257 |
| NPI Number | 1972996197 |
|---|---|
| Provider Enumeration Date | 03/12/2015 |
| Last Update Date | 10/24/2024 |
| Medicare PECOS PAC ID | 0749592038 |
|---|---|
| Medicare Enrollment ID | O20150629002391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972996197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0401413811 (Virginia) | Primary |
| Provider Name | Samuel E Scroggins |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1487742375 PECOS PAC ID: 7214179225 Enrollment ID: I20130803000169 |
Irby Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3501 Franklin Rd Sw, Roanoke, VA 24014 Phone: 540-342-6800 | |
Grandin Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 Grandin Rd Sw, Roanoke, VA 24015 Phone: 540-344-9361 Fax: 540-344-9377 | |
Gary A. Roach, Dds, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5004 Brambleton Ave, Roanoke, VA 24018 Phone: 540-774-1019 Fax: 540-774-9012 | |
Roanoke Oral Surgery, Inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 6027 Peters Creek Rd, Roanoke, VA 24019 Phone: 540-362-5900 Fax: 540-366-5131 | |
Andrew W Henritze Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3611 Brambleton Ave, Roanoke, VA 24018 Phone: 540-991-5151 Fax: 540-202-9339 | |
Carilion Medical Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2017 Jefferson St Sw, Roanoke, VA 24014 Phone: 540-981-7128 | |
R. Douglas Ross, Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 Grandin Rd Sw, Roanoke, VA 24015 Phone: 540-344-9361 Fax: 540-344-9377 |