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
Fax: (229) 241-0698
Website:

Health care specialties

SpecialtyCodeLicense #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 14 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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