Organization · Type 2 NPI
DRS Brock, Henderson, Di Prisco, Ravelo and Green Inc
Oral and Maxillofacial Surgery (Dentist) · Beckley, WV
Practice location
433 Carriage Dr
Beckley, WV 25801-2805
Mailing address
103 Station Place Way
Hurricane, WV 25526-8747
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
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.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Beckley
About NPI 1194364398
DRS Brock, Henderson, Di Prisco, Ravelo and Green Inc's National Provider Identifier is 1194364398, issued on Jan 6, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Beckley, WV. The record was last updated on May 29, 2025.