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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

NPI # 1215502125
LBN Legal business name VCU ORAL-FACIAL SURGERY AND SERVICES LLC
Authorized official SANDY KROSLACK - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/24/2021
Last updated 07/21/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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