Organization · Type 2 NPI
DRS Brock, Henderson, Di Prisco, Ravelo and Green Inc
Oral and Maxillofacial Surgery (Dentist) · Hurricane, WV
Practice location
100A Prestige Park Dr
Hurricane, WV 25526
Fax (304) 757-0273
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.
Another provider at this address
About NPI 1992766737
DRS Brock, Henderson, Di Prisco, Ravelo and Green Inc's National Provider Identifier is 1992766737, issued on Mar 31, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Hurricane, WV. The record was last updated on May 29, 2025.