Organization · Type 2 NPI

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

Oral and Maxillofacial Surgery (Dentist) · Vinton, VA

NPI number 1720734684 Active

Practice location

895 E Washington Ave
Vinton, VA 24179-2105

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.

4 other providers at this address

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About NPI 1720734684

DRS Brock, Henderson, Di Prisco, Ravelo and Green Inc's National Provider Identifier is 1720734684, issued on Mar 1, 2022. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Vinton, VA. The record was last updated on May 30, 2025.