Organization · Type 2 NPI
DRS Brock, Henderson, Di Prisco, Ravelo and Green Inc
Oral and Maxillofacial Surgery (Dentist) · Princeton, WV
Practice location
220 Locust St
Princeton, WV 24740-3626
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.
About NPI 1801435003
DRS Brock, Henderson, Di Prisco, Ravelo and Green Inc's National Provider Identifier is 1801435003, issued on Jan 6, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Princeton, WV. The record was last updated on May 30, 2025.