Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southwest Virginia Oral & Maxillofacial Surgery, PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1972996197

Southwest Virginia Oral & Maxillofacial Surgery, PLLC is an Oral and Maxillofacial Surgery (Dentist) in Roanoke, Virginia. Licensed in Virginia. Registered with an NPI since 2015.

Licensed in
VA
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3580 Keagy Rd SW
Roanoke, VA 24018-1152
Phone: (540) 989-5257
Fax: (540) 989-5259
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 0401413811 (VA)

Record details

NPI number1972996197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Scroggins — Llc Member · (540) 989-5257
NPI enumeratedMarch 12, 2015
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024
Mailing address3580 Keagy Rd Sw, Roanoke, VA 24018-1152

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