National Provider Identifier Database

MIDDLE PENINSULA ORAL AND FACIAL SURGERY LLC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

MIDDLE PENINSULA ORAL AND FACIAL SURGERY LLC
7547 MEDICAL DR
GLOUCESTER COURTHOUSE, VA23061-4351
Phone: 804-693-4220
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for MIDDLE PENINSULA ORAL AND FACIAL SURGERY LLC

NPI Number 1891068417
Legal business name
LBN
MIDDLE PENINSULA ORAL AND FACIAL SURGERY LLC
Authorized official JOHN MORGAN - (OWNER/SURGEON)
Entity Organization
Organization subpart No
Enumeration date 02/13/2012
Last updated 02/13/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0438000297

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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