SOUTHWEST VIRGINIA ORAL & MAXILLOFACIAL SURGERY, PLLC
NPI 1972996197
Dentist - Oral and Maxillofacial Surgery in Roanoke, VA

Active since March 12, 2015CLIA 49D2299870 · Waiver
3580 KEAGY RD SW, ROANOKE, VA 24018(540) 989-5257(540) 989-5259 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southwest Virginia Oral & Maxillofacial Surgery, Pllc NPPES

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

SOUTHWEST VIRGINIA ORAL & MAXILLOFACIAL SURGERY, PLLC (NPI 1972996197) is a healthcare organization registered as an oral and maxillofacial surgery in Roanoke, Virginia and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through February 28, 2028 and lists Samuel E Scroggins, Llc Member, as its authorized official.

NPPES Registry Identity

NPI1972996197
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSOUTHWEST VIRGINIA ORAL & MAXILLOFACIAL SURGERY, PLLC
Location Address3580 KEAGY RD SWRoanoke, VA 24018-1152
Mailing Address3580 Keagy Rd SwRoanoke, VA 24018-1152 · (540) 989-5257 · Fax (540) 989-5259
Fax(540) 989-5259
Organization SubpartNo
Authorized OfficialSamuel E ScrogginsLlc Member · (540) 989-5257
Enumeration DateMarch 12, 2015
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
NPI 1972996197 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 VA · 0401413811
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.
3580 KEAGY RD SW, Roanoke, VA 24018

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2299870

Southwest Virginia Oral & Maxillofacial Surgery · Roanoke, VA
Active · expires Feb 28, 2028
CLIA Number49D2299870
Laboratory TypeOral Surgeons Office
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorSamuel E. Scroggins
Laboratory Phone(540) 989-5257
Laboratory LocationSouthwest Virginia Oral & Maxillofacial Surgery3580 Keagy Road, SW, Roanoke, VA 24018
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Dentist (Oral and Maxillofacial Surgery)
3580 KEAGY RD SW
ROANOKE, VA 24018
Dentist (Oral and Maxillofacial Surgery)
3580 KEAGY RD SW
ROANOKE, VA 24018

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 Southwest Virginia Oral & Maxillofacial Surgery, PLLC's NPI number?

The NPI number for Southwest Virginia Oral & Maxillofacial Surgery, PLLC is 1972996197. It was assigned to this organization in the NPPES registry on March 12, 2015.

Where is Southwest Virginia Oral & Maxillofacial Surgery, PLLC located?

Southwest Virginia Oral & Maxillofacial Surgery, PLLC is located at 3580 Keagy Rd SW, Roanoke, VA 24018. The listed phone number is (540) 989-5257.

What is Southwest Virginia Oral & Maxillofacial Surgery, PLLC's specialty?

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

Does Southwest Virginia Oral & Maxillofacial Surgery, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2299870) is associated with this NPI, valid through February 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southwest Virginia Oral & Maxillofacial Surgery, PLLC was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.