Organization · Type 2 NPI
Appomattox River Oral and Facial Surgery P.c.
Oral and Maxillofacial Surgery (Dentist) · Petersburg, VA
NPI number
1255007266
Active
Practice location
595 Old Wagner Rd Ste A
Petersburg, VA 23805-9307
Fax (804) 861-8070
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.
About NPI 1255007266
Appomattox River Oral and Facial Surgery P.c.'s National Provider Identifier is 1255007266, issued on Aug 19, 2021. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Petersburg, VA. The record was last updated on Aug 19, 2021.