Organization
APPALACHIAN ORAL & MAXILLOFACIAL SURGERY LTD
Active
Parent organization
APPALACHIAN ORAL & MAXILLOFACIAL SURGERY LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
APPALACHIAN ORAL & MAXILLOFACIAL SURGERY LTD
Authorized official
DR. NEIL D HOLLYFIELD DDS (PRESIDENT)
(276) 783-8131
Entity
Organization
Contact information
Practice address
645 PARK BLVD, MARION, VA 24354-4223
(276) 783-8131
(276) 783-1839
Mailing address
645 PARK BLVD, MARION, VA 24354-4223
(276) 783-8131
(276) 783-1839
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401005753
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401410162
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401411670
VA
Other
Enumeration date
11/09/2006
Last updated
02/09/2016
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