EASTERN VIRGINIA ORAL & MAXILLOFACIAL SURGERY
NPI 1265929913
Dentist - Oral and Maxillofacial Surgery in Virginia Beach, VA

Active since April 18, 2018
6033 PROVIDENCE RD, VIRGINIA BEACH, VA 23464(757) 424-2672 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 23, 2024, Apr 18, 2018 (2 updates tracked since 2018).

About Eastern Virginia Oral & Maxillofacial Surgery NPPES

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

EASTERN VIRGINIA ORAL & MAXILLOFACIAL SURGERY (NPI 1265929913) is a healthcare organization registered as an oral and maxillofacial surgery in Virginia Beach, Virginia and active in the NPI registry since April 2018. The organization lists Laura Shawver, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1265929913
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameTRENT P CONELIAS DDS, PC
Location Address6033 PROVIDENCE RDVirginia Beach, VA 23464-3815
Mailing Address6033 Providence RdVirginia Beach, VA 23464-3815 · (757) 424-2672
Organization SubpartNo
Authorized OfficialLaura ShawverPractice Manager · (757) 424-2672
Enumeration DateApril 18, 2018
Last NPPES UpdateApril 23, 20242 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
NPI 1265929913 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.

6033 PROVIDENCE RD, Virginia Beach, VA 23464

Other Names 1

Doing Business AsEastern Virginia Oral & Maxillofacial Surgery

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 MULTIPLE SINGLE SPECIALTY GROUP

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.

Dentist (Oral and Maxillofacial Surgery)
6033 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
Dentist (Oral and Maxillofacial Surgery)
6033 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
Dentist (Oral and Maxillofacial Pathology)
6033 PROVIDENCE RD
VIRGINIA BEACH, VA 23464

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265929913, enumerated as an "organization" on April 18, 2018.

The provider is located at 6033 PROVIDENCE RD VIRGINIA BEACH, VA 23464 and the phone number is (757) 424-2672.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.