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VIRIGINIA ORAL FACIAL & IMPLANT SURGERY NPI 1588867113


NPI Information

NPI: 1588867113
Provider Name: VIRIGINIA ORAL FACIAL & IMPLANT SURGERY
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
7601 LEWINSVILLE RD
SUITE 203
MCLEAN, VA
ZIP 22102
Phone: (703) 388-2805
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VIRIGINIA ORAL FACIAL & IMPLANT SURGERY is an oral and maxillofacial surgery dentist in Mclean, VA. The provider is an oral and maxillofacial surgery dentist specialized in 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. VIRIGINIA ORAL FACIAL & IMPLANT SURGERY NPI is 1588867113. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7601 LEWINSVILLE RD
SUITE 203
MCLEAN, VA
ZIP 22102-814
Phone: (703) 388-2805
Fax: (703) 388-2806

The provider's authorized official is Michael Timothy Gocke .
The authorized official title is Owner and has the following contact phone number (703) 388-2805.

The enumeration date for this NPI number is 6/10/2007 and was last updated on 7/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial Surgery0401411538VIRGINIANo
22082S0099XPlastic SurgeryPlastic Surgery Within the Head and Neck0401411538VIRGINIANo
31223S0112XDentistOral and Maxillofacial Surgery0401411538VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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