# TRENT P CONELIAS DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eastern Virginia Oral & Maxillofacial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265929913
- **Authorized official:** MRS. LAURA SHAWVER (PRACTICE MANAGER)
- **Authorized official phone:** (757) 424-2672

## Contact information

- **Practice address:** 6033 PROVIDENCE RD, VIRGINIA BEACH, VA 23464-3815
- **Practice address phone:** (757) 424-2672
- **Mailing address:** 6033 PROVIDENCE RD, VIRGINIA BEACH, VA 23464-3815
- **Mailing address phone:** (757) 424-2672

## Taxonomy

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

## Other

- **Enumeration date:** 04/18/2018
- **Last updated:** 04/23/2024