| Commonwealth Oral & Facial Surgery, Pc | |
|
8503 Patterson Ave Suite B Richmond VA 23229-6442 | |
| (804) 354-1600 | |
| (804) 354-1607 |
| Full Name | Commonwealth Oral & Facial Surgery, Pc |
|---|---|
| Speciality | Dentist |
| Location | 8503 Patterson Ave, Richmond, Virginia |
| Authorized Official Name and Position | Gwen Eva Kennon (SENIOR BILLING SPECIALIST) |
| Authorized Official Contact | 8043541602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Oral & Facial Surgery, Pc Po Box 71930 Richmond VA 23255-1930 Ph: (804) 354-1600 | Commonwealth Oral & Facial Surgery, Pc 8503 Patterson Ave Suite B Richmond VA 23229-6442 Ph: (804) 354-1600 |
| NPI Number | 1144274382 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 02/20/2019 |
| Medicare PECOS PAC ID | 0749282853 |
|---|---|
| Medicare Enrollment ID | O20070202000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144274382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0135583-3 (Virginia) | Primary |
| Provider Name | Andrew Ferguson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1013043090 PECOS PAC ID: 0244326205 Enrollment ID: I20071022000764 |
| Provider Name | Thomas E Eschenroeder |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1063462869 PECOS PAC ID: 3971505082 Enrollment ID: I20100428000936 |
| Provider Name | Michael E Miller |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1558312058 PECOS PAC ID: 8527060631 Enrollment ID: I20100428000962 |
| Provider Name | Jeffrey E Cyr |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1245281476 PECOS PAC ID: 9335141449 Enrollment ID: I20100428000966 |
| Provider Name | Greg Micheal Zoghby |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1013967942 PECOS PAC ID: 4880696996 Enrollment ID: I20100428000970 |
| Provider Name | Ammar Ar Sarraf |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1376779033 PECOS PAC ID: 3375785520 Enrollment ID: I20130816000849 |
| Provider Name | Charles Douglas Boxx |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1427460799 PECOS PAC ID: 0840503454 Enrollment ID: I20190612000653 |
| Provider Name | Lauren Kaplan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1093240137 PECOS PAC ID: 6002186764 Enrollment ID: I20210525000163 |
| Provider Name | Nicholas Broccoli |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1235679432 PECOS PAC ID: 0840569950 Enrollment ID: I20210615003048 |
| Provider Name | Sean A Eccles |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1437649431 PECOS PAC ID: 2769739705 Enrollment ID: I20220726000213 |
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Gregory K. Kontopanos, Dds & Associates, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3525 Iron Bridge Rd, Richmond, VA 23234 Phone: 804-275-7477 Fax: 804-275-6313 | |
Larson And Roelofs Family Dentistry Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9327 Midlothian Turnpike, Suite 1a, Richmond, VA 23235 Phone: 804-323-3944 Fax: 804-323-6007 | |
Richmond City Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1517 W Broad St, Richmond, VA 23220 Phone: 804-658-5665 Fax: 804-912-2258 | |
Dr. Jayaraman Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5311 Patterson Ave, Richmond, VA 23226 Phone: 804-282-6665 Fax: 804-288-5875 | |
Rossetti & Myers Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2613 N Parham Rd, Richmond, VA 23294 Phone: 804-747-0090 Fax: 804-270-9461 | |
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