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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up