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Southside Oral & Facial Surgery
Oral and Maxillofacial Surgery (Dentist) in Chester, Virginia
NPI 1801067285

Southside Oral & Facial Surgery is a Oral and Maxillofacial Surgery (Dentist) based in Chester, VA and is specialized in Oral and Maxillofacial Surgery. Southside Oral & Facial Surgery practices in Chester, VA. The NPI Number for Southside Oral & Facial Surgery is 1801067285 and holds a License No. 4685 (Virginia).

The current practice location address for Southside Oral & Facial Surgery is 11971 Iron Bridge Rd, Chester, VA and can be reached out via phone at 804-717-5275 and via fax at 804-748-4017.

Location: 11971 Iron Bridge Rd, Chester, VA, 23831-1458
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801067285
Provider Name
Southside Oral & Facial Surgery
Credential
Provider Entity Type
Organization
Address
11971 Iron Bridge Rd, Chester, VA, 23831-1458
Phone Number
804-717-5275
Fax Number
804-748-4017
Provider Enumeration Date
03/13/2008
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
9185610 05 VA
219899 01 ANTHEM BC&BS
219900 01 ANTHEM BC&BS
386682 01 ANTHEM BC&BS
386686 01 ANTHEM BC&BS
259641 01 ANTHEM BC&BS
9179952 05 VA
9202377 05 VA
005298 01 ANTHEM BC&BS
005299 01 ANTHEM BC&BS
386684 01 ANTHEM BC&BS
9185611 05 VA
institution
Provider Business Practice Location Address Details
Address
11971 Iron Bridge Rd
City
Chester
State
Virginia
Zip
23831-1458
Phone Number
804-717-5275
Fax Number
804-748-4017
person
Provider Business Mailing Address Details
Address
11971 Iron Bridge Rd
City
Chester
State
Virginia
Zip
23831-1458
Phone Number
804-717-5275
Fax Number
804-748-4017
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
4685 (Virginia)
Definition
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.
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