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Middle Peninsula Oral And Facial Surgery Llc
Oral and Maxillofacial Surgery Clinic/Center in Gloucester, Virginia
NPI 1891068417

Middle Peninsula Oral And Facial Surgery Llc is a Oral and Maxillofacial Surgery Clinic/Center based in Gloucester, VA and is specialized in Oral and Maxillofacial Surgery. Middle Peninsula Oral And Facial Surgery Llc practices in Gloucester, VA. The NPI Number for Middle Peninsula Oral And Facial Surgery Llc is 1891068417 and holds a License No. 0438000297 (Virginia).

The current practice location address for Middle Peninsula Oral And Facial Surgery Llc is 7547 Medical Dr, Gloucester, VA and can be reached out via phone at 804-693-4220.

Location: 7547 Medical Dr, Gloucester, VA, 23061-1056
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891068417
Provider Name
Middle Peninsula Oral And Facial Surgery Llc
Credential
Provider Entity Type
Organization
Address
7547 Medical Dr, Gloucester, VA, 23061-1056
Phone Number
804-693-4220
Fax Number
Provider Enumeration Date
02/13/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7547 Medical Dr
City
Gloucester
State
Virginia
Zip
23061-4351
Phone Number
804-693-4220
Fax Number
person
Provider Business Mailing Address Details
Address
7547 Medical Dr
City
Gloucester
State
Virginia
Zip
23061-4351
Phone Number
804-693-4220
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
0438000297 (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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