# WINCHESTER ORAL SURGERY CENTER PC

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

## Provider details

- **NPI number:** 1679829311
- **Authorized official:** VINCENT F COVIELLO DDS (OWNER)
- **Authorized official phone:** (540) 535-0269

## Contact information

- **Practice address:** 172 LINDEN DR, SUITE 111, WINCHESTER, VA 22601-2891
- **Practice address phone:** (540) 535-0269
- **Practice address fax:** (540) 535-0109
- **Mailing address:** 172 LINDEN DR, SUITE 111, WINCHESTER, VA 22601-2891
- **Mailing address phone:** (540) 535-0269
- **Mailing address fax:** (540) 535-0109

## 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:** 07/31/2012
- **Last updated:** 07/31/2012