Dr Maynard Prescott Phelps, DMD, MS is a
Oral & Maxillofacial Surgery based in Sandston, Virginia. Dr Maynard Prescott Phelps is licensed to practice in Virginia (license number 0401411495) and his current practice location is
5510 Whiteside Road, Sandston, Virginia. He can be reached at his office (for appointments etc.) via phone at
(804) 737-0992.
NPI number for Dr Maynard Prescott Phelps is 1659399053 and his current mailing address is 11545 Nuckols Rd Ste A, Glen Allen, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659399053.
Healthcare Provider's Profile
| Full Name | Dr Maynard Prescott Phelps |
|---|
| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 5510 Whiteside Road, Sandston, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659399053
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 01/29/2024
Medical Identifiers
Medical identifiers for Dr Maynard Prescott Phelps such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659399053 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0401411495 (Virginia) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 0401411495 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Maynard Prescott Phelps is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Maynard Prescott Phelps, DMD, MS
11545 Nuckols Rd Ste A,
Glen Allen, VA 23059-5666
Ph: (804) 673-8061 | Dr Maynard Prescott Phelps, DMD, MS
5510 Whiteside Road,
Sandston, VA 23150-2345
Ph: (804) 737-0992 |
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