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.
Organization
COASTAL ORAL MAXILLOFACIAL SURGERY & IMPLANTS, INC.
Active
Organization
COASTAL ORAL MAXILLOFACIAL SURGERY & IMPLANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN DANIEL KIELY DMD (OWNER/ORAL SURGEON)
(757) 207-0138
Entity
Organization
Contact information
Practice address
5408 DISCOVERY PARK BLVD, SUITE 101, WILLIAMSBURG, VA 23188-2893
(757) 208-0138
(757) 206-1981
Mailing address
5408 DISCOVERY PARK BLVD, SUITE 101, WILLIAMSBURG, VA 23188-2893
(757) 208-0138
(757) 206-1981
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401007303
VA
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers