John R. Roller, D.D.S.
Dentist in Waynesboro, VA. Organization (NPI-2).
NPI number1902138795
StatusActive
Last updated in NPPESFeb 4, 2010
Details
- NPI
- 1902138795
- Entity type
- Organization (NPI-2)
- Legal business name
- John R. Roller, D.D.S.
- Organization subpart
- Yes
- Enumeration date
- Feb 4, 2010
- Last updated
- Feb 4, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 0401004700 | VA | Yes |
Practice location
436 S Linden AveWaynesboro, VA 22980-3564
Phone 540-943-1114
Mailing address
436 S Linden AveWaynesboro, VA 22980-3564
Phone 540-943-1114
Authorized official
John Richard Roller
Dentist/Owner
5409431114
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