DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
NPI 1053561779
Dentist - Oral and Maxillofacial Surgery in Huntington, WV
About Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC (NPI 1053561779), doing business as Mt State Oral & Maxillofacial Surgeons, is a healthcare organization registered as an oral and maxillofacial surgery in Huntington, West Virginia and active in the NPI registry since September 2008. The organization lists Lesley Marie Coyner, Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other Names 1
Group Practice 1
Accepted Insurance
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc's NPI number?
The NPI number for Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc is 1053561779. It was assigned to this organization in the NPPES registry on September 30, 2008. The provider is doing business as Mt State Oral & Maxillofacial Surgeons.
Where is Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc located?
Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc is located at 3135 16th Street Rd Suite 20, Huntington, WV 25701. The listed phone number is (304) 399-1092.
What is Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
What insurance does Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc accept?
Health plans from Highmark Blue Cross Blue Shield West Virginia list Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc was last updated on May 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
