# NRV ORAL & MAXILLOFACIAL SURGERY, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013097195
- **Authorized official:** DR. CLINTON W HOWARD III DMD (SURGEON)
- **Authorized official phone:** (540) 951-8777

## Contact information

- **Practice address:** 100 PROFESSIONAL PARK DR SE, SUITE 1, BLACKSBURG, VA 24060-6665
- **Practice address phone:** (540) 951-8777
- **Practice address fax:** (540) 951-9642
- **Mailing address:** 100 PROFESSIONAL PARK DR SE, SUITE 1, BLACKSBURG, VA 24060-6665
- **Mailing address phone:** (540) 951-8777
- **Mailing address fax:** (540) 951-9642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 12/01/2009
