DR. MAYNARD PRESCOTT PHELPS (NPI# 1659399053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659399053 |
| Entity Type | Individual |
| Full Name | DR. MAYNARD PRESCOTT PHELPS |
| Credential | DMD, MS |
| Practice Address |
5510 Whiteside Road Sandston VA 23150-2345 |
| Mailing Address |
11545a Nuckois Road Glen Allen VA 23059-5666 |
| Practice Telephone | 8047370992 |
| Practice Fax Number | 8047376275 |
| Mailing Telephone | 8046738061 |
| Mailing Fax Number | 8046735644 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2019-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
0401411495 | VA | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 0401411495 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9950 Courthouse Rd, Charles City, VA 230303434 | 8048296600 | 8048296182 |
| Street Address |
5510 WHITESIDE ROAD |
| City | SANDSTON |
| State | VA |
| Zip Code | 23150-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265493076 | Lawrence C Metzger | Dentist | 5510 Whiteside Road, Sandston, VA 23150-2345 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194367904 | Frances Rose Mckinsey | Technician | 3 W. Mcclellan St., Sandston, VA 23150 | 2019-10-14 |
| 1912023755 | Huntleigh Healthcare LLC | Durable Medical Equipment & Medical Supplies | 5350 I Lewis Road, Sandston, VA 23150 | 2007-03-22 |
| 1699834648 | Marcel Ghislain Lambrechts Jr. | Dentist | 43 West Williamsburg Road, Sandston, VA 23150 | 2006-12-06 |
| 1174697957 | Susan R Richardson Overstreet | Dentist | 39 W Williamsburg Rd, Sandston, VA 23150 | 2006-11-20 |
| 1639241359 | David Richard Suyes Jr. | Dentist | 4 East Williamsburg Road, Sandston, VA 23150 | 2006-11-15 |
| 1770517757 | Gerald William Hake | Internal Medicine | 6 East Williamsburg Road, Sandston, VA 23150 | 2006-07-10 |
| 1740481308 | Gerald W Hake Md PC | Internal Medicine | 6 East Williamsburg Road, Sandston, VA 23150 | 2007-05-30 |
| 1407923691 | Cooke Richardson & Overstreet Dds PC | Dentist | 39 W Williamsburg Rd, Sandston, VA 23150 | 2006-11-30 |
| 1891869681 | Thomas S Cooke IIi | Dentist | 39 W Williamsburg Rd, Sandston, VA 23150 | 2006-11-20 |
| 1902468465 | Kimberly Williams | Driver | 132 Sanderling Ave, Sandston, VA 23150-1000 | 2019-07-05 |
| Find all providers in zip 23150 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450319 | Kipley Powell | Oral & Maxillofacial Surgery | Vcuhs Dept of Oral&maxillofacial Residency, 980566, 1250 E. Marshall Street, Richmond, VA 23298-0566 | 2020-06-04 |
| 1235499328 | Daniel Brett Bostock | Oral & Maxillofacial Surgery | 2843 Hartland Rd Ste 150, Falls Church, VA 22043-3543 | 2012-05-22 |
| 1003131731 | Philip J. Pandolfi, Dmd, Pllc | Oral & Maxillofacial Surgery | 2105 Evelyn Byrd Ave, Harrisonburg, VA 22801-5431 | 2010-04-06 |
| 1851424675 | James Hs Whitney Dds PC | Oral & Maxillofacial Surgery | 2071 Pro Pointe Ln., Harrisonburg, VA 22801 | 2007-03-13 |
| 1164591970 | Craig Ernest Vigliante | Oral & Maxillofacial Surgery | 19440 Golf Vista Plaza, Ste 130, Leesburg, VA 20176 | 2006-11-07 |
| 1679548010 | Gene Allen Vandervort Jr. | Oral & Maxillofacial Surgery | 44340 Premier Plaza, Suite 100, Ashburn, VA 20147-5074 | 2006-02-21 |
| 1437144789 | James H Priest | Oral & Maxillofacial Surgery | 420 Hamilton Blvd, South Boston, VA 24592-5200 | 2005-09-13 |
| 1831624618 | Christopher Loschiavo | Oral & Maxillofacial Surgery | 1250 E Marshall St, Box 980566, Richmond, VA 23298-5051 | 2017-04-28 |
| 1063711208 | Sarah Elizabeth Snow Summers | Oral & Maxillofacial Surgery | 244 Hydraulic Ridge Rd, Charlottesville, VA 22901-8124 | 2011-03-25 |
| 1588867113 | Viriginia Oral Facial & Implant Surgery | Oral & Maxillofacial Surgery | 7601 Lewinsville Rd, Suite 203, Mclean, VA 22102-2814 | 2007-06-10 |
| 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.