# SOUTHSIDE ORAL & FACIAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Drs. O'Neill, Trotter & Brinser
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801067285
- **Authorized official:** DR. BRADLEY SCOTT TROTTER D.D.S. (DENTIST)
- **Authorized official phone:** (804) 717-5275

## Contact information

- **Practice address:** 11971 IRON BRIDGE RD, CHESTER, VA 23831-1458
- **Practice address phone:** (804) 717-5275
- **Practice address fax:** (804) 748-4017
- **Mailing address:** 11971 IRON BRIDGE RD, CHESTER, VA 23831-1458
- **Mailing address phone:** (804) 717-5275
- **Mailing address fax:** (804) 748-4017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 4685 | VA | Yes |

## Other

- **Enumeration date:** 03/13/2008
- **Last updated:** 03/13/2008