Individual provider · Type 1 NPI

Nathaniel D. Tricker, DDS

Oral and Maxillofacial Surgery (Dentist) · Charlottesville, VA

NPI number 1114903739 Active

Practice location

244 Hydraulic Ridge Road, Central Virginia Oral & Facial Surgeons
Charlottesville, VA 22901

Fax (434) 977-5790

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X12010200A (IN)
Oral and Maxillofacial Surgery (Dentist) 1223S0112XDE00011016 (WA)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X0401412914 (VA)

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.

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About NPI 1114903739

Nathaniel D. Tricker, DDS's National Provider Identifier is 1114903739, issued on Dec 15, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Charlottesville, VA. The record was last updated on Aug 23, 2010.