DR. JOHN DAVID ROAN DDS
NPI 1508861428
Dentist - Oral and Maxillofacial Surgery in Valdosta, GA

Q: What is John Roan's NPI number?

The NPI number for John Roan is 1508861428. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Q: What is John Roan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for John Roan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 16, 2005

2720 N OAK ST, VALDOSTA, GA 31602(229) 247-5590(229) 241-0698 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. John David Roan Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN DAVID ROAN DDS (NPI 1508861428) is an individual oral and maxillofacial surgery provider in Valdosta, Georgia, licensed in Georgia (DN008219) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1508861428

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. JOHN DAVID ROANCredential: DDS

Location Address2720 N OAK STValdosta, GA 31602-1781

Mailing Address2720 N Oak StValdosta, GA 31602-1781 · (229) 247-5590 · Fax (229) 241-0698

Phone(229) 247-5590

Fax(229) 241-0698

Enumeration DateJune 16, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1508861428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in GA · DN008219

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2720 N OAK ST, Valdosta, GA 31602

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Other Identifiers 1

Medicare UPINU22620GA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VALDOSTA ORAL AND MAXILLOFACIAL SURGEONS

Dentist (Oral and Maxillofacial Surgery)

2720 N OAK ST
VALDOSTA, GA 31602

Lowndes County (229) 247-5590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Roan's NPI number?

The NPI number for John Roan is 1508861428. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is John Roan located?

John Roan practices at 2720 N Oak St, Valdosta, GA 31602. The listed phone number is (229) 247-5590.

What is John Roan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for John Roan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.