Organization · Type 2 NPI

NRV Oral & Maxillofacial Surgery, Ltd

Oral and Maxillofacial Surgery (Dentist) · Fairlawn, VA

NPI number 1639073448 Active

Practice location

6061 Belspring Rd
Fairlawn, VA 24141-8567

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	None listed
Oral & Maxillofacial Surgery (D.M.D.)	204E00000X	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.

NPI record

NPI: 1639073448
Entity type: Organization (Type 2)
Issued: Oct 5, 2026
Last updated: Oct 5, 2026
Status: Active
Subpart: Yes of NRV Oral & Maxillofacial Surgery, Ltd

Other names

NRV Oral & Maxillofacial Surgery - Radford · doing business as

Authorized official

Michaela Muniz
VP, Payor Relations
(469) 324-3242

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About NPI 1639073448

NRV Oral & Maxillofacial Surgery, Ltd's National Provider Identifier is 1639073448, issued on Oct 5, 2026. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fairlawn, VA. The record was last updated on Oct 5, 2026.