# COMMONWEALTH ORAL & FACIAL SURGERY, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Nelson Miller Eschenroeder Zoghby Cyr Ferguson and Asso
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144274382
- **Authorized official:** GWEN EVA KENNON (SENIOR BILLING SPECIALIST)
- **Authorized official phone:** (804) 354-1602

## Contact information

- **Practice address:** 8503 PATTERSON AVE, SUITE B, RICHMOND, VA 23229-6442
- **Practice address phone:** (804) 354-1600
- **Practice address fax:** (804) 354-1607
- **Mailing address:** PO BOX 71930, RICHMOND, VA 23255-1930
- **Mailing address phone:** (804) 354-1600
- **Mailing address fax:** (804) 354-1607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 0135583-3 | VA | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 02/20/2019