Individual provider · Type 1 NPI
John David Roan, DDS
Oral and Maxillofacial Surgery (Dentist) · Valdosta, GA
NPI number
1508861428
Active · reactivated Mar 31, 2006
Practice location
2720 N Oak St
Valdosta, GA 31602-1781
Fax (229) 241-0698
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DN008219 (GA) |
Oral and Maxillofacial Surgery (Dentist): 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.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Valdosta
About NPI 1508861428
John David Roan, DDS's National Provider Identifier is 1508861428, issued on Jun 16, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Valdosta, GA. The record was last updated on Jul 13, 2026.