NPI 1013260983

Springfield Oral Surgery, PC

Organisation Oral and Maxillofacial Surgery (Dentist) Springfield, VA

Practice location

Address: 6120 Brandon Ave Suite 301, Springfield, VA 22150-2522
Phone: (703) 436-4633

Authorised official

Name: Snehal Patel
Title: Owner
Phone: (703) 436-4633

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence 0401411948 (VA)

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Registry record

NPI: 1013260983
Entity type: Organization
NPI issued: 17 Oct 2012
Record last updated: 13 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.