VIRIGINIA ORAL FACIAL & IMPLANT SURGERY (NPI# 1588867113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588867113 |
| Entity Type | Organization |
| Organization Name | VIRIGINIA ORAL FACIAL & IMPLANT SURGERY |
| Practice Address |
7601 Lewinsville Rd Suite 203 Mclean VA 22102-2814 |
| Mailing Address |
Po Box 1049 Fayetteville AR 72702-1049 |
| Practice Telephone | 7033882805 |
| Practice Fax Number | 7033882806 |
| Mailing Telephone | 4794645824 |
| Mailing Fax Number | 4797252395 |
| Enumeration Date | 2007-06-10 |
| Last Update Date | 2008-07-21 |
| Authorized Official Name | DR. MICHAEL TIMOTHY GOCKE (OWNER) |
| Authorized Official Telephone | 7033882805 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204E00000X | Oral & Maxillofacial Surgery | 0401411538 | VA | Allopathic & Osteopathic Physicians |
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
0401411538 | VA | Allopathic & Osteopathic Physicians |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
0401411538 | VA | Dental Providers |
| Street Address |
7601 LEWINSVILLE RD SUITE 203 |
| City | MCLEAN |
| State | VA |
| Zip Code | 22102-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336260843 | Michael Timothy Gocke | Dentist | 7601 Lewinsville Rd, Suite 203, Mclean, VA 22102-2814 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134686249 | Partnerships In Care Corporation | In Home Supportive Care | 8200 Greensboro Drive, Mclean, VA 22102 | 2019-02-25 |
| 1124597919 | Choi Ying Hoo | Massage Therapist | 8347a Greensboro Dr, Yulli Therapeutic Healing Center, Tysons Corner Mclean, VA 22102 | 2018-11-21 |
| 1063998086 | Golden Angel Care LLC | In Home Supportive Care | 1765 Greensboro Station Pl Ste 900, Mc Lean, VA 22102 | 2018-07-12 |
| 1699278291 | Chukwudi Luke Onwuka | Behavior Technician | 1651 Old Meadow Road Suite 600, Mclean, VA 22102 | 2018-03-10 |
| 1861901969 | Behavior Health Inc | Psychiatry & Neurology | 8000 Westpark Drive, Suite 140, Mclean, VA 22102 | 2017-09-21 |
| 1487013504 | Sharon Simon | Nurse Practitioner | 1430 Spring Hill Rd Ste 103, Mc Lean, VA 22102 | 2016-02-17 |
| 1699130336 | Somatus, Inc. | Case Management | 1861 International Drive Suite 600, Mclean, VA 22102 | 2015-12-23 |
| 1225388580 | Victoria A Bacsardi | Social Worker | 8008 Westpark Dr Ste 315, Mc Lean, VA 22102 | 2012-09-14 |
| 1962757336 | Ramiro Wladimir Lizano Santamaria | Pediatrics | Children's Heart Institute, P. O Box 10066, Mclean, VA 22102 | 2012-07-20 |
| 1538302047 | Crystal St. Clair | Anesthesiology | 8008 Westpark Dr., Mclean, VA 22102 | 2009-04-14 |
| Find all providers in zip 22102 | ||||
| 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 |
|---|---|---|---|---|
| 1972720654 | Eric A Foretich | Dentist | 1515 Chain Bridge Rd, Suite 206, Mclean, VA 22101-4451 | 2007-04-20 |
| 1336260843 | Michael Timothy Gocke | Dentist | 7601 Lewinsville Rd, Suite 203, Mclean, VA 22102-2814 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058604 | Sherwood Oral Surgery | Dentist | 174b Executive Dr, Danville, VA 24541-4100 | 2020-09-22 |
| 1295348720 | Virginia Plastic Surgery Institute | Dentist | 1016 N Highland St Ste 131b, Arlington, VA 22201-2112 | 2020-08-25 |
| 1487271334 | Moonlight Oral Surgery Pllc | Dentist | 1210 S Glebe Rd Unit 40580, Arlington, VA 22204-0282 | 2020-06-26 |
| 1942826524 | Mira Dental At Tysons Corner Pllc | Dentist | 8201 Greensboro Dr Ste 710, Mc Lean, VA 22102-3818 | 2020-06-19 |
| 1285296814 | South Riding Oral and Implant Surgery | Dentist | 24805 Pinebrook Rd # 318, Chantilly, VA 20152-4126 | 2019-07-03 |
| 1053971861 | Jennifer Rose Van Hook | Dentist | Vcuhs Dept of Omfs Residency, 980566, 1250 E. Marshall Street, Richmond, VA 23298-0566 | 2019-06-14 |
| 1174093835 | Patriot Oral and Facial Surgery Pllc | Dentist | 121 Bulifants Blvd Ste B, Williamsburg, VA 23188-5736 | 2018-11-26 |
| 1881163699 | Loudoun Center for Oral Surgery, Pllc | Dentist | 46161 Westlake Dr Ste 200, Sterling, VA 20165-5871 | 2018-11-21 |
| 1235628991 | Michael Jonathan Theiss | Dentist | 1250 E Marshall St # 980566, Richmond, VA 23298-5051 | 2018-05-08 |
| 1871957043 | Goodwin Oral & Facial Surgery Pllc | Dentist | 3200 Peoples Dr, Ste 210, Harrisonburg, VA 22801-7631 | 2016-04-13 |
| Find all providers with the same taxonomy | ||||
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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.