Organization · Type 2 NPI

Middle Peninsula Oral and Facial Surgery LLC

Oral and Maxillofacial Surgery Clinic/Center · Gloucester, VA

NPI number 1891068417 Active

Practice location

7547 Medical Dr
Gloucester, VA 23061-4351

Mailing address

PO Box 1056
Gloucester, VA 23061-1056

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112X0438000297 (VA)

Oral and Maxillofacial Surgery Clinic/Center: 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.

5 other providers at this address

About NPI 1891068417

Middle Peninsula Oral and Facial Surgery LLC's National Provider Identifier is 1891068417, issued on Feb 13, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Gloucester, VA. The record was last updated on Feb 13, 2012.