Whalio Doctors

NPI 1659399053

Maynard Prescott Phelps, DMDMS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Sandston, VA

Practice location

Address
5510 Whiteside Road, Sandston, VA 23150-2345
Phone
(804) 737-0992
Fax
(804) 737-6275
Mailing address
11545 Nuckols Rd STE a, Glen Allen, VA 23059-5666

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 0401411495 (VA)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 0401411495 (VA)

Registry record

NPI
1659399053
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Jul 2006
Record last updated
29 Jan 2024

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.