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Samuel Scroggins, DMD
Oral and Maxillofacial Surgery (Dentist) in Roanoke, Virginia
NPI 1487742375

Samuel Scroggins is a Oral and Maxillofacial Surgery (Dentist) based in Roanoke, VA and is specialized in Oral and Maxillofacial Surgery. Samuel Scroggins practices in Roanoke, VA and has the professional credentials of DMD. The NPI Number for Samuel Scroggins is 1487742375 and holds a License No. 0401413811 (Virginia).

The current practice location address for Samuel Scroggins is 3580 Keagy Rd Sw, Roanoke, VA and can be reached out via phone at 540-989-5257 and via fax at 540-989-5259.

Location: 3580 Keagy Rd Sw, Roanoke, VA, 24018-1152
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487742375
Provider Name
Samuel Scroggins
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3580 Keagy Rd Sw, Roanoke, VA, 24018-1152
Phone Number
540-989-5257
Fax Number
540-989-5259
Provider Enumeration Date
10/10/2006
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
009911387 05 AL
510-06443 01 AL BLUE CROSS BLUE SHIELD
51529738 01 AL BLUE CROSS#-EASTERN DENTA
009932141 05 AL
institution
Provider Business Practice Location Address Details
Address
3580 Keagy Rd Sw
City
Roanoke
State
Virginia
Zip
24018-1152
Phone Number
540-989-5257
Fax Number
540-989-5259
person
Provider Business Mailing Address Details
Address
3580 Keagy Rd Sw
City
Roanoke
State
Virginia
Zip
24018-1152
Phone Number
540-989-5257
Fax Number
540-989-5259
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
0401413811 (Virginia)
Definition
The specialty of dentistry which includes 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.
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