CHESTERFIELD ORAL SURGERY INC. (NPI# 1356405740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356405740 |
| Entity Type | Organization |
| Organization Name | CHESTERFIELD ORAL SURGERY INC. |
| Practice Address |
10110 Iron Bridge Rd Chesterfield VA 23832-6529 |
| Practice Telephone | 8047689000 |
| Practice Fax Number | 8047689966 |
| Mailing Telephone | 8047689000 |
| Mailing Fax Number | 8047689966 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. STEPHEN CHRISTOPHER BROWN (PRESIDENT) |
| Authorized Official Telephone | 8047689000 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | CHESTERFIELD ORAL SURGERY INC. | 10110 Iron Bridge Road, Chesterfield, Virginia 23832 |
| Street Address |
10110 IRON BRIDGE RD |
| City | CHESTERFIELD |
| State | VA |
| Zip Code | 23832-6529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740344233 | Stephen Christopher Brown | Dentist | 10110 Iron Bridge Rd, Chesterfield, VA 23832-6529 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019754 | Sandra Hill | Counselor | 6900 Mimms Dr, Chesterfield, VA 23832 | 2020-06-26 |
| 1285256222 | Robin Ratliff Jones | Counselor | 6801 Lucy Blvd., 92, Chesterfield Mental Health, Chesterfield, VA 23832 | 2020-05-13 |
| 1629616495 | Chantell Nicole Randolph | Technician | 6519 Brambleton Rd, Chesterfield, VA 23832 | 2019-12-12 |
| 1881244374 | Jessica G Black | Physical Medicine & Rehabilitation | 10300 Courthouse Rd, Chesterfield, VA 23832 | 2019-09-17 |
| 1467934828 | Lorien Wilder Lcsw LLC | Clinic/Center | 9844 Lori Road Suite 102, Chesterfield, VA 23832 | 2018-09-03 |
| 1902390933 | National Vision, Inc. | Technician/Technologist | 14609 Hancock Village Street, Chesterfield, VA 23832 | 2018-06-22 |
| 1659860245 | Kaitlyn Moore | Behavior Technician | 7807 Hampton Summit Ter, Chesterfield, VA 23832 | 2018-05-09 |
| 1205337417 | Vitalcare Family LLC | Family Medicine | 7300 Ashlake Parkway, Chesterfield, VA 23832 | 2018-02-22 |
| 1205200599 | Chippenham & Johnston-willis Hospitals, Inc. | Clinic/Center | 14720 Hancock Village Street, Chesterfield, VA 23832 | 2015-11-24 |
| 1265801823 | Village Counseling Services, LLC | Community/Behavioral Health | 7305 Hancock Village Drive, Suite 315, Chesterfield, VA 23832 | 2015-09-24 |
| Find all providers in zip 23832 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134767866 | Courtney Ethington | Dentist | 4 West Dr Ste 170, Chesterfield, MO 63017-1793 | 2019-12-12 |
| 1790923365 | Reza Movahed | Dentist | 1585 Woodlake Dr Ste 208, Chesterfield, MO 63017-5740 | 2009-02-04 |
| 1922195395 | Timothy M Weber | Dentist | 222 S Woodsmill Road, Suite 720 North, Chesterfield, MO 63017 | 2006-10-06 |
| 1831155076 | Brent L Kincaid | Dentist | 222 S Woods Mill Rd Ste 720n, Chesterfield, MO 63017-3650 | 2006-04-25 |
| 1225015068 | Scott A. Drooger | Dentist | 17300 Outer Forty Road North, Suite 103, Chesterfield, MO 63005 | 2005-12-22 |
| 1114498946 | Clarkson Oral Surgery | Dentist | 2997 Clarkson Rd, Ste 120, Chesterfield, MO 63017 | 2018-12-05 |
| 1447516794 | Bradley Ross Carn | Dentist | 222 S Woods Mill Rd Ste 720n, Chesterfield, MO 63017 | 2012-04-11 |
| 1053549816 | David E. Urbanek | Dentist | 17300 Outer Forty Road North, Suite 103, Chesterfield, MO 63005 | 2009-06-30 |
| 1871764233 | Susan Ann Godwin | Dentist | 16216 Baxter Rd, Suite 250, Chesterfield, MO 63017-4770 | 2008-03-13 |
| 1073709226 | Weber Dds PC | Dentist | 222 S Woods Mill Rd, Suite 720n, Chesterfield, MO 63017-3625 | 2007-09-21 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 23832 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.