NPI 1215502125

Vcu Oral-Facial Surgery and Services LLC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Richmond, VA

Practice location

Address: 520 N 12th St, Richmond, VA 23298-5064
Phone: (804) 628-6637

Authorised official

Name: Sandy Kroslack
Title: Credentialing Specialist
Phone: (904) 201-1428

Registered specialties (5)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Virginia →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X

Other Dentist providers in Virginia →

Oral and Maxillofacial Pathology Dentistry

Dental Providers Taxonomy 1223P0106X

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X

Orofacial Pain Dentistry

Dental Providers Taxonomy 1223X2210X

Registry record

NPI: 1215502125
Entity type: Organization
NPI issued: 24 May 2021
Record last updated: 21 Jul 2023

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.