Organization · Type 2 NPI

DRS Brock, Henderson, Di Prisco, Ravelo and Green Inc

Oral and Maxillofacial Surgery (Dentist) · Parkersburg, WV

NPI number 1356772677 Active

Practice location

417 Grand Park Dr, Suite 103
Parkersburg, WV 26105

Call (304) 699-5010 Map

Fax (304) 553-7268

Mailing address

103 Station Place Way
Hurricane, WV 25526-8747

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone 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.

14 other providers at this address

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About NPI 1356772677

DRS Brock, Henderson, Di Prisco, Ravelo and Green Inc's National Provider Identifier is 1356772677, issued on Dec 12, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Parkersburg, WV. The record was last updated on May 30, 2025.