Roanoke Oral Surgery, Inc. - Medicare Dental Clinic in Roanoke, VA

Roanoke Oral Surgery, Inc. is a medicare enrolled dental clinic (Dentist - Oral And Maxillofacial Surgery) in Roanoke, Virginia. The current practice location for Roanoke Oral Surgery, Inc. is 6027 Peters Creek Rd, Roanoke, Virginia. For appointments, you can reach them via phone at (540) 362-5900. The mailing address for Roanoke Oral Surgery, Inc. is Po Box 7889, Roanoke, Virginia and phone number is (540) 362-5900.

Roanoke Oral Surgery, Inc. is licensed to practice in Virginia (license number 0401004673). The clinic also participates in the medicare program and its NPI number is 1104007384. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (540) 362-5900.

Contact Information

Roanoke Oral Surgery, Inc.
6027 Peters Creek Rd
Roanoke
VA 24019-4029
(540) 362-5900
(540) 366-5131

Dental Care Clinic Profile

Full NameRoanoke Oral Surgery, Inc.
SpecialityDentist
Location6027 Peters Creek Rd, Roanoke, Virginia
Authorized Official Name and PositionJames T. Mcclung (PRESIDENT)
Authorized Official Contact5403625900
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Roanoke Oral Surgery, Inc.
Po Box 7889
Roanoke
VA 24019-0889

Ph: (540) 362-5900
Roanoke Oral Surgery, Inc.
6027 Peters Creek Rd
Roanoke
VA 24019-4029

Ph: (540) 362-5900

NPI Details:

NPI Number1104007384
Provider Enumeration Date11/16/2007
Last Update Date11/16/2007

Medicare PECOS Information:

Medicare PECOS PAC ID1456314681
Medicare Enrollment IDO20041109000755

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Medical Identifiers

Medical identifiers for Roanoke Oral Surgery, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104007384NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 0401004673 (Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Roanoke Oral Surgery, Inc. acts as a billing entity for following providers:
Provider NameAlbert W Parulis
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1003886912
PECOS PAC ID: 7719995869
Enrollment ID: I20060330000544

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Provider NameJason I Margolis
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1437315702
PECOS PAC ID: 6103074257
Enrollment ID: I20130912000717

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Provider NameKaine Ks Stokes
Provider TypePractitioner - Maxillofacial Surgery
Provider IdentifiersNPI Number: 1326236845
PECOS PAC ID: 6608122833
Enrollment ID: I20180702001170

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Provider NameNicole M Reddout
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1790001436
PECOS PAC ID: 6800261652
Enrollment ID: I20230407001127

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Dental Clinics in Roanoke, VA

Irby & Ramsey Dental
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
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

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