# APPALACHIAN ORAL & MAXILLOFACIAL SURGERY LTD

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** APPALACHIAN ORAL & MAXILLOFACIAL SURGERY LTD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386714996
- **Legal business name:** APPALACHIAN ORAL & MAXILLOFACIAL SURGERY LTD
- **Authorized official:** DR. NEIL D HOLLYFIELD DDS (PRESIDENT)
- **Authorized official phone:** (276) 783-8131

## Contact information

- **Practice address:** 645 PARK BLVD, MARION, VA 24354-4223
- **Practice address phone:** (276) 783-8131
- **Practice address fax:** (276) 783-1839
- **Mailing address:** 645 PARK BLVD, MARION, VA 24354-4223
- **Mailing address phone:** (276) 783-8131
- **Mailing address fax:** (276) 783-1839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 0401005753 | VA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 0401410162 | VA | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 0401411670 | VA | — |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 02/09/2016