MIDDLE PENINSULA ORAL AND FACIAL SURGERY LLC (NPI# 1891068417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891068417 |
| Entity Type | Organization |
| Organization Name | MIDDLE PENINSULA ORAL AND FACIAL SURGERY LLC |
| Practice Address |
7547 Medical Dr Gloucester VA 23061-4351 |
| Mailing Address |
Po Box 1056 Gloucester VA 23061-1056 |
| Practice Telephone | 8046934220 |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |
| Authorized Official Name | JOHN MORGAN (OWNER/SURGEON) |
| Authorized Official Telephone | 8046934220 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
0438000297 | VA | Ambulatory Health Care Facilities |
| Street Address |
7547 MEDICAL DR |
| City | GLOUCESTER |
| State | VA |
| Zip Code | 23061-4351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215932025 | Janet Hudgins Dehoux | Nurse Practitioner | 7547 Medical Dr, Suite 1200, Gloucester, VA 23061-4351 | 2005-06-17 |
| 1922326222 | Elizabeth Rose Lunsford | Obstetrics & Gynecology | 7547 Medical Dr, Suite 1200, Gloucester, VA 23061-4351 | 2010-05-11 |
| 1649425570 | Riverside Physician Services, Inc | Internal Medicine | 7547 Medical Dr, Ste 2100, Gloucester, VA 23061-4351 | 2008-11-19 |
| 1154575272 | Margaret Ann Stuppy | Nurse Practitioner | 7547 Medical Dr, Suite 2100, Gloucester, VA 23061-4351 | 2008-11-17 |
| 1467581454 | James Caldwell Larue | Internal Medicine | 7547 Medical Dr, Suite 2200, Gloucester, VA 23061-4351 | 2007-03-05 |
| 1629044193 | Francisco Xavier Valls | Internal Medicine | 7547 Medical Dr, Suite 2200, Gloucester, VA 23061-4351 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770087546 | Connex Family Services | Behavioral Analyst | 6948 Main Street Ste. 12, Gloucester, VA 23061 | 2018-03-19 |
| 1699278820 | Blake Steagall | Counselor | 7296 York Avenue, Gloucester, VA 23061 | 2018-03-14 |
| 1982103941 | Cathyrn Fields Radford | Speech-Language Pathologist | Page Middle School, 5198 T. C. Walker Road, Gloucester, VA 23061 | 2018-02-06 |
| 1326558727 | Home Care Associates LLC | Technician | 6812 Teagle Lane, Unit 1, Gloucester, VA 23061 | 2017-10-11 |
| 1154847176 | Thorpe Counseling Center | Social Worker | 6486 Main Street, Suite 10, Gloucester, VA 23061 | 2017-08-22 |
| 1215473715 | Christina Vickers | Prevention Professional | 7824 Windy Hill Road, Gloucester, VA 23061 | 2017-01-09 |
| 1487084372 | Debra Leigh Ottarson | Pharmacist | 6634 Jarvis Road, Gloucester, VA 23061 | 2013-11-14 |
| 1114170446 | Riverside Physician Services Inc | Psychiatry & Neurology | 7547 Medial Drive, Suite 1300, Gloucester, VA 23061 | 2008-10-30 |
| 1881846087 | Nine Palms 1, LLC | Home Health | 6606 Main St, Gloucester, VA 23061 | 2008-10-21 |
| 1396909867 | Sandra B Buchheister | Physical Therapist | 6965 Fox Hunt Lane, Suite 201, Gloucester, VA 23061 | 2008-07-15 |
| Find all providers in zip 23061 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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 |
|---|---|---|---|---|
| 1225425465 | Integrative Implant Services, LLC | Clinic/Center | 6845 Elm. St., Ste. 225, Mclean, VA 22102-3834 | 2015-04-24 |
| 1235424557 | Fredericksburg Regional Oral Surgery Center Inc | Clinic/Center | 210 Executive Center Pkwy, Fredericksburg, VA 22401-3107 | 2011-06-15 |
| 1720006661 | Christopher E. Bonacci Dds Md PC | Clinic/Center | 361 Maple Ave W, Suite 200, Vienna, VA 22180-4304 | 2006-07-18 |
| 1538629134 | Eric J Smith Dds PC | Clinic/Center | 22525 Timberlake Rd, Lynchburg, VA 24502-7307 | 2019-03-21 |
| 1922579796 | Eric J Smith Dds PC | Clinic/Center | 22525 Timberlake Rd, Lynchburg, VA 24502-7307 | 2018-12-05 |
| 1124572417 | Isle of Wight Family & Cosmetic Dentistry PC | Clinic/Center | 4053 Taylor Rd, Suite J, Chesapeake, VA 23321-5537 | 2016-08-04 |
| 1386050532 | Tristate Oral Surgery Plc | Clinic/Center | 5659 Columbia Pike, Suite 100, Falls Church, VA 22041-2878 | 2014-07-09 |
| 1831526995 | Northern Virginia Center for Oral and Facial Surgery | Clinic/Center | 4211 Fairfax Corner Ave E, Suite 235, Fairfax, VA 22030-8622 | 2013-10-03 |
| 1215292255 | Paul E. Prillaman, IIi, Dds, Plc | Clinic/Center | 905 Battlefield Blvd N, 101, Chesapeake, VA 23320-4875 | 2012-07-05 |
| 1386818136 | Drs. Gold and Abbott, Ltd. | Clinic/Center | 1940 Braeburn Dr, Salem, VA 24153-7383 | 2008-04-14 |
| Find all providers with the same taxonomy | ||||
| City | GLOUCESTER |
| Zip Code | 23061 |
Please comment or provide details below to improve the information on MIDDLE PENINSULA ORAL AND FACIAL SURGERY LLC.
| 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.