| Appomattox River Oral And Facial Surgery P.c. | |
|
595 Old Wagner Rd Ste A Petersburg VA 23805-9307 | |
| (804) 732-6532 | |
| (804) 861-8070 |
| Full Name | Appomattox River Oral And Facial Surgery P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 595 Old Wagner Rd Ste A, Petersburg, Virginia |
| Authorized Official Name and Position | Robert John O'neill (PRESIDENT) |
| Authorized Official Contact | 8047326532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Appomattox River Oral And Facial Surgery P.c. 595 Old Wagner Rd Ste A Petersburg VA 23805-9307 Ph: (804) 732-6532 | Appomattox River Oral And Facial Surgery P.c. 595 Old Wagner Rd Ste A Petersburg VA 23805-9307 Ph: (804) 732-6532 |
| NPI Number | 1255007266 |
|---|---|
| Provider Enumeration Date | 08/19/2021 |
| Last Update Date | 08/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255007266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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