Roanoke Oral Surgery, Inc.
NPI 1104007384 · Oral and Maxillofacial Surgery (Dentist) · Roanoke, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Roanoke Oral Surgery, Inc. is a Oral and Maxillofacial Surgery (Dentist) organization in Roanoke, VA (NPI 1104007384).
Provider details
- NPI number
- 1104007384
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- James Mcclung, President(540) 362-5900
- License
- 0401004673 (VA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-11-16
- Last updated
- 2007-11-16
Frequently asked questions
- What is Roanoke Oral Surgery, Inc.'s NPI number?
- Roanoke Oral Surgery, Inc.'s National Provider Identifier (NPI) is 1104007384, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Roanoke Oral Surgery, Inc.?
- Roanoke Oral Surgery, Inc. is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Roanoke Oral Surgery, Inc. located?
- Roanoke Oral Surgery, Inc.'s practice location on file with NPPES is 6027 Peters Creek Rd, Roanoke, VA 24019-4029.
- What is Roanoke Oral Surgery, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Roanoke Oral Surgery, Inc. is (540) 362-5900.
- Does Roanoke Oral Surgery, Inc. accept Medicare?
- Roanoke Oral Surgery, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Roanoke Oral Surgery, Inc.?
- The authorized official listed on Roanoke Oral Surgery, Inc.'s NPPES record is James Mcclung, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Roanoke Oral Surgery, Inc.'s NPI active?
- Yes — Roanoke Oral Surgery, Inc.'s NPI (1104007384) is active in the NPPES registry as of the last update on 2007-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.