| Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc | |
|
895 E Washington Ave Vinton VA 24179-2105 | |
| (304) 425-8220 | |
| Not Available |
| Full Name | Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 895 E Washington Ave, Vinton, Virginia |
| Authorized Official Name and Position | Lesley Marie Coyner (CREDENTIALING) |
| Authorized Official Contact | 3047207819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc 103 Station Place Way Hurricane WV 25526-8747 Ph: (304) 720-7819 | Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc 895 E Washington Ave Vinton VA 24179-2105 Ph: (304) 425-8220 |
| NPI Number | 1720734684 |
|---|---|
| Provider Enumeration Date | 03/01/2022 |
| Last Update Date | 05/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720734684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
George Kevorkian Jr Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 895 E Washington Ave, Vinton, VA 24179 Phone: 540-344-7252 Fax: 540-345-1891 | |
R. Kevin Greenway, D.d.s. Ralph N. Greenway, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 614 East Washington Avenue, Vinton, VA 24179 Phone: 540-342-2949 Fax: 540-345-3919 | |
Harvey Dentistry Vtn, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1335 Hardy Rd, Vinton, VA 24179 Phone: 540-342-7865 Fax: 540-342-7862 |