DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
NPI 1194364398
Dentist - Oral and Maxillofacial Surgery in Beckley, WV

Q: 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.

Active since January 06, 2020

433 CARRIAGE DR, BECKLEY, WV 25801(304) 256-3777 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2025, Dec 3, 2020, Jan 6, 2020 (3 updates tracked since 2020).

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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 1194364398) is a healthcare organization registered as an oral and maxillofacial surgery in Beckley, West Virginia and active in the NPI registry since January 2020. The organization lists Lesley Marie Coyner, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1194364398

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameDRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC

Location Address433 CARRIAGE DRBeckley, WV 25801-2805

Mailing Address103 Station Place WayHurricane, WV 25526-8747 · (304) 720-7819

Phone(304) 256-3777

Organization SubpartNo

Authorized OfficialLesley Marie CoynerCredentialing · (304) 345-1092

Enumeration DateJanuary 6, 2020

Last NPPES UpdateMay 29, 20253 updates tracked since enumeration

NPPES CertifiedMay 29, 2025

✔ NPI 1194364398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

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.

433 CARRIAGE DR, Beckley, WV 25801

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GLENN ARTIE GREENE DDS

Dentist (Oral and Maxillofacial Surgery)

433 CARRIAGE DR
BECKLEY, WV 25801

Raleigh County (304) 256-3777

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 1194364398. It was assigned to this organization in the NPPES registry on January 6, 2020.

Where is Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc located?

Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc is located at 433 Carriage Dr, Beckley, WV 25801. The listed phone number is (304) 256-3777.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.