NIAMTU & ALEXANDER ORAL & MAXILLOFACIAL SURGERY PC (NPI# 1952356487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952356487 |
| Entity Type | Organization |
| Organization Name | NIAMTU & ALEXANDER ORAL & MAXILLOFACIAL SURGERY PC |
| Other Organization Name | DRS. NIAMTU, ALEXANDER, KEENEY, HARRIS, METZGER & DYMAN, P.C. |
| Practice Address |
11319 Polo Pl Midlothian VA 23113 |
| Mailing Address |
11545 A Nuckols Road Glen Allen VA 23059-5666 |
| Practice Telephone | 8047940794 |
| Practice Fax Number | 8043792858 |
| Mailing Telephone | 8046738061 |
| Mailing Fax Number | 8046735644 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2019-03-29 |
| Authorized Official Name | MR. JOHN M WILLIAMS (CEO) |
| Authorized Official Telephone | 8046738061 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Drs. Niamtu, Alexander, Keeney, Harris, Metzger & Dyman, P.C. | Other Name - Individual/Organization |
| Virginia Oral & Facial Surgery | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5224 Monument Ave, Richmond, VA 232261405 | 8043594474 | 8043594465 |
| 5510 Whiteside Rd, Sandston, VA 231502345 | 8047370992 | 8047376275 |
| 6031 Harbour Park Dr, Midlothian, VA 231122160 | 8046083200 | 8046083201 |
| 7481 Right Flank Rd Ste 120, Mechanicsville, VA 231163838 | 8045595416 | 8045595455 |
| 7702 E Parham Rd Ste 103, Richmond, VA 232944366 | 8042705028 | 8047473599 |
| Street Address |
11319 POLO PL |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427019405 | Joseph Niamtu IIi | Dentist | 11319 Polo Pl, Midlothian, VA 23113-1434 | 2006-03-30 |
| 1609295336 | Bryan P Wheeler | Dentist | 11319 Polo Pl, Midlothian, VA 23113-1434 | 2014-04-09 |
| 1174584981 | Rossano N Wlodawsky | Dentist | 11319 Polo Pl, Midlothian, VA 23113-1434 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881211167 | River Run Dental Midlothian Pllc | Dentist | 14261 Winterview Parkway, Midlothian, VA 23113 | 2020-07-02 |
| 1447891981 | Dianne Carter Mays | Technician | 10901 Live Oak Court, Midlothian, VA 23113 | 2019-10-07 |
| 1023538444 | Kathryn Marie Logsdon | Physical Therapist | 2900 Calcutt Drive, Midlothian, VA 23113 | 2017-06-27 |
| 1801244694 | Anjali N Kalore | Internal Medicine | 10925 Live Oak Ct, Midlothian, VA 23113 | 2016-06-02 |
| 1124415971 | Cara E. Corbelli | Chiropractor | 1520 Huguenot Rd Ste 113, Midlothian, VA 23113 | 2015-04-20 |
| 1922438639 | Orthovirginia, Inc | Orthopaedic Surgery | 13801 St. Francis Blvd, Suite 200, Midlothian, VA 23113 | 2013-11-15 |
| 1811334832 | Kara Keuthan Beatty | Psychiatry & Neurology | 1525 Huguenot Rd Ste 201, Midlothian, VA 23113 | 2013-05-31 |
| 1770854697 | R. Adrian Sorenson Dds and William R. Monacell Dds | Dentist | 14420 Sommerville Ct., Midlothian, VA 23113 | 2012-01-24 |
| 1336418995 | Hush Fine Lingerie LLC | Prosthetic/Orthotic Supplier | 15712 Wc Main Strett, Westchester Commons Shopping Center, Midlothian, VA 23113 | 2011-12-27 |
| 1205118163 | Rebecca Barton | Pharmacist | 10401 Midlothian Tnpk, Midlothian, VA 23113 | 2011-09-15 |
| Find all providers in zip 23113 | ||||
| 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 |
|---|---|---|---|---|
| 1417155821 | Damon Omar Watson | Dentist | 6031 Harbour Park Dr, Midlothian, VA 23112-2160 | 2007-07-06 |
| 1245281476 | Jeffrey E. Cyr | Dentist | 5942 Harbour Park Dr, Midlothian, VA 23112-2163 | 2006-05-12 |
| 1427019405 | Joseph Niamtu IIi | Dentist | 11319 Polo Pl, Midlothian, VA 23113-1434 | 2006-03-30 |
| 1609295336 | Bryan P Wheeler | Dentist | 11319 Polo Pl, Midlothian, VA 23113-1434 | 2014-04-09 |
| 1184721987 | James C Wallace | Dentist | 1680 Huguenot Rd, Midlothian, VA 23113-2427 | 2006-09-20 |
| 1942308143 | Thomas B Padgett | Dentist | 1680 Huguenot Rd, Midlothian, VA 23113-2427 | 2006-09-20 |
| 1629172192 | Dr. Thomas B. Padgett, PC | Dentist | 1680 Huguenot Rd, Midlothian, VA 23113-2427 | 2006-09-12 |
| 1063462869 | Thomas A Eschenroeder | Dentist | 1807 Huguenot Rd, Suite 120, Midlothian, VA 23113-5604 | 2006-05-11 |
| 1013967942 | Greg M Zoghby | Dentist | 1807 Huguenot Rd, Suite 120, Midlothian, VA 23113-5604 | 2006-05-11 |
| 1174584981 | Rossano N Wlodawsky | Dentist | 11319 Polo Pl, Midlothian, VA 23113-1434 | 2006-03-31 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 23113 |
Please comment or provide details below to improve the information on NIAMTU & ALEXANDER ORAL & MAXILLOFACIAL SURGERY PC.
| 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.