MEDICARE: DR. JOHN SCOTT REPASS SR. DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	0401003883	VA
2	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	3883	VA

General Provider Information

NPI Number	:	1619167319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN SCOTT REPASS SR. DDS

Provider Business Mailing Address
First Line	:	102 HIGHLAND AVE SE
Second Line	:	301 COMMUNITY MEDICAL BLDG
City	:	ROANOKE
State	:	VA
Zip	:	24013-2253
Country	:	US
Telephone Number	:	540-343-1769
Fax Number	:	540-342-1606

Provider Business Practice Location Address
First Line	:	102 HIGHLAND AVE SE
Second Line	:	301 COMMUNITY MEDICAL BLDG
City	:	ROANOKE
State	:	VA
Zip	:	24013-2253
Country	:	US
Telephone Number	:	540-343-1769
Fax Number	:	540-342-1606

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2007
Last Update Date	:	07/29/2007

Similar Medicare Providers

1902631146 — ASHLEY WORLEY C.N.M.
Practice Location Address:

102 HIGHLAND AVE SE STE 301
ROANOKE, VA
24013-2253

Practice Phone: 540-985-9700
Practice Fax: 540-301-6283

1134223217 — MARIA CHRISTINA JOHNSON CNM
Practice Location Address:

102 HIGHLAND AVE SE STE 301
ROANOKE, VA
24013-2253

Practice Phone: 540-985-9715
Practice Fax: 540-985-8487

1588800239 — STEPHANIE WOLFE RD
Practice Location Address:

102 HIGHLAND AVE SE STE 305
ROANOKE, VA
24013-2253

Practice Phone: 540-985-8581
Practice Fax:

1063702264 — LAUREN ELIZABETH NELSON MD
Practice Location Address:

102 HIGHLAND AVE SE STE 303
ROANOKE, VA
24013-2253

Practice Phone: 540-985-9715
Practice Fax: 540-985-8487

1881972172 — MS. DANIELA CARMEN PAUL C.N.M.
Practice Location Address:

102 HIGHLAND AVE SE STE 301
ROANOKE, VA
24013-2253

Practice Phone: 540-985-9715
Practice Fax: 540-985-8487

1942643895 — LAUREN R MAHER MD
Practice Location Address:

102 HIGHLAND AVE SE STE 303
ROANOKE, VA
24013-2253

Practice Phone: 540-985-9715
Practice Fax:

Directions to “ DR. JOHN SCOTT REPASS SR. DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.