Organization · Type 2 NPI
Elevate Oral Surgery
Oral and Maxillofacial Surgery (Dentist) · Herndon, VA
Practice location
131 Elden St Ste 300
Herndon, VA 20170-4851
Fax (703) 689-3903
Mailing address
3903 Fair Ridge Dr Ste 215
Fairfax, VA 22033-2945
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 1861147993
Elevate Oral Surgery's National Provider Identifier is 1861147993, issued on Feb 17, 2022. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Herndon, VA. The record was last updated on Feb 17, 2022.