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Contact Information

VCU ORAL-FACIAL SURGERY AND SERVICES LLC
520 N 12TH ST
RICHMOND, VA23298-5064
 Phone: 804-628-6637
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

General Practice

1223G0001X
 

Oral and Maxillofacial Pathology

1223P0106X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Orofacial Pain

1223X2210X
Indicates primary specialty

NPI Profile & details for VCU ORAL FACIAL SURGERY AND SERVICES LLC · (Female)

NPI Number 1215502125
Status Active
Credentials
Entity Individual
Enumeration date 05/24/2021
Last updated 07/21/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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