# JOHN R. ROLLER, D.D.S.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1902138795
- **Legal business name:** JOHN R. ROLLER, D.D.S.
- **Authorized official:** DR. JOHN RICHARD ROLLER D.D.S. (DENTIST/OWNER)
- **Authorized official phone:** (540) 943-1114

## Contact information

- **Practice address:** 436 S LINDEN AVE, WAYNESBORO, VA 22980-3564
- **Practice address phone:** (540) 943-1114
- **Mailing address:** 436 S LINDEN AVE, WAYNESBORO, VA 22980-3564
- **Mailing address phone:** (540) 943-1114

## Taxonomy

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

## Other

- **Enumeration date:** 02/04/2010
- **Last updated:** 02/04/2010