VCU ORAL-FACIAL SURGERY AND SERVICES LLC
NPI 1215502125
Oral & Maxillofacial Surgery in Richmond, VA

Q: What is Vcu Oral-Facial Surgery And Services LLC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Active since May 24, 2021

520 N 12TH ST, RICHMOND, VA 23298(804) 628-6637 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2023, Aug 30, 2022, May 24, 2021 (3 updates tracked since 2021).

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About Vcu Oral-facial Surgery And Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VCU ORAL-FACIAL SURGERY AND SERVICES LLC (NPI 1215502125) is a healthcare organization registered as an oral & maxillofacial surgery in Richmond, Virginia and active in the NPI registry since May 2021. The organization maintains 3 additional practice locations and lists Sandy Kroslack, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1215502125

Entity TypeOrganization

Primary Taxonomy204E00000X

Legal Business NameVCU ORAL-FACIAL SURGERY AND SERVICES LLC

Location Address520 N 12TH STRichmond, VA 23298-5064

Mailing Address520 N 12th StRichmond, VA 23298-5064

Phone(804) 628-6637

Organization SubpartYesParent: Dentistry Vcu

Authorized OfficialSandy KroslackCredentialing Specialist · (904) 201-1428

Enumeration DateMay 24, 2021

Last NPPES UpdateJuly 21, 20233 updates tracked since enumeration

NPPES CertifiedJuly 21, 2023

✔ NPI 1215502125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentist · General PracticeTaxonomy 1223G0001X

Also ListedDentist · Oral and Maxillofacial PathologyTaxonomy 1223P0106X

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X

Also ListedDentist · Orofacial PainTaxonomy 1223X2210X

520 N 12TH ST, Richmond, VA 23298

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Secondary Practice Locations 3

Location 1521 N 11th StRichmond, VA 23298-5016 · Phone (804) 628-6637

Location 21001 E Leigh StRichmond, VA 23298-5004 · Phone (804) 628-6637

Location 31250 E Marshall StRichmond, VA 23298-5023 · Phone (804) 628-6637

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 20

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

DR. SHAHRZAD ORENDUFF D.D.S.

Dentist (General Practice)