# ROLLER FAMILY DENTISTRY, PLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOHN R. ROLLER,D.D.S.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861723793
- **Legal business name:** JOHN R. ROLLER,D.D.S.
- **Authorized official:** DR. JOHN DANIEL ROLLER DDS (OWNER, DENTIST)
- **Authorized official phone:** (540) 943-1114

## Contact information

- **Practice address:** 1420 13TH ST, WAYNESBORO, VA 22980-3624
- **Practice address phone:** (540) 943-1114
- **Practice address fax:** (540) 943-1466
- **Mailing address:** 1420 13TH ST, WAYNESBORO, VA 22980-3624
- **Mailing address phone:** (540) 943-1114
- **Mailing address fax:** (540) 943-1466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401004700 | VA | Yes |

## Other

- **Enumeration date:** 01/15/2010
- **Last updated:** 08/14/2015