Valley Oral Surgery, P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

0401005671 Issued in VA

Legal business name

VALLEY ORAL SURGERY, P.C.

Practice address

4437 Starkey Rd Ste B
Roanoke, VA 24018-0618

Phone

(540) 774-5900

Fax

(540) 776-3496

NPI assigned

Nov 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Caroline D Shell

Title

Office Manager

Phone

(540) 774-5900

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1891976148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4437 STARKEY RD STE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180618",
            "telephone_number": "540-774-5900",
            "fax_number": "540-776-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4437 STARKEY RD STE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180618",
            "telephone_number": "540-774-5900",
            "fax_number": "540-776-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY ORAL SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "SHELL",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "540-774-5900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401005671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Geropsychiatry LLC
• Valley Home Health Care LLC
• Valley Integrative Medicine
• Valley OB/GYN, PC
• Valley of Hope Hospice, LLC
• Valley Pharmacies Inc
• Valley Pharmacies, Inc.
• Valley View Pharmacy Inc
• Valley Voice, PLLC
• Logan Valley, MED, LPC, NCC

• Oral and Maxillofacial Surgery (Dentist) in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.