Roan, John David
Roan, John David is an individual health care provider with primary practice located at 2720 N Oak St , Valdosta GA 31602-1781. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Roan, John David can be contacted via phone (229) 247-5590.Contact Information
Primary practice address
2720 N Oak St
Valdosta GA 31602-1781
Phone: (229) 247-5590
Fax: (229) 241-0698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN008219 | Georgia |
Profile Details
| NPI number | 1508861428 |
|---|---|
| LBN Legal business name | Roan, John David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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