Organization
NIAMTU & ALEXANDER ORAL & MAXILLOFACIAL SURGERY PC
Active
Other names
Drs. Niamtu, Alexander, Keeney, Harris, Metzger & Dymon, P.C., Drs. Niamtu, Alexander, Keeney, Harris, Metzger & Dyman, P.C., Virginia Oral & Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA MARIE PITKIN ROSE (PROJECT COORDINATOR)
(804) 532-0002
Entity
Organization
Contact information
Practice address
130 TOWNE CENTER WEST BOULEVARD, HENRICO, VA 23233-2323
(804) 270-5028
(804) 747-3599
Mailing address
11545 A NUCKOLS ROAD, GLEN ALLEN, VA 23059-5666
(804) 673-8061
(804) 673-5644
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
05/23/2006
Last updated
01/29/2024
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