Roanoke Oral Surgery, Inc.
NPI 1104007384ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Roanoke, VA
Dentist, Oral and Maxillofacial Surgery in Roanoke, Virginia, registered in NPPES in November 2007. The authorized official on file is James T. McClung, DDS, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104007384 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 16, 2007 |
| Last updated in NPPES | Nov 16, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | 0401004673 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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