Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN DAVID ROAN, DDS
DeactivatedDR. JOHN DAVID ROAN, DDS is a Oral & Maxillofacial Surgery healthcare provider located in VALDOSTA, Georgia. NPI 1508861428 is deactivated in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · VALDOSTA, GA
This NPI has been deactivated.
The record was deactivated on March 17, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1508861428
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2005 (0.75068493150685 yrs)
- Last Updated
- Jul 8, 2007
- Deactivated
- Mar 17, 2006
- License
-
DN008219 (GA)
Practice Information
- Address
-
2720 N OAK STVALDOSTA, GA, 316021781Browse GA providers · Browse ZIP 31602
- Phone
- 2292475590
- Fax
- 2292410698
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in VALDOSTA, GA
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFERY SHANE WOOD | DMD | 1992848659 |
| DR. FERNANDO ALVARADO | D.D.S. | 1073632659 |
| DR. JOSEPH WILLIAM DASHER | D.D.S. | 1720234313 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.