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DR. MAYNARD PRESCOTT PHELPS DMD, MS
NPI 1659399053
Oral & Maxillofacial Surgery in Sandston, VA

Active since July 17, 2006Opted out of Medicare · through Jan 1, 2028
5510 WHITESIDE ROAD, SANDSTON, VA 23150(804) 737-0992(804) 737-6275 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 16, 2021, Oct 21, 2019, Mar 17, 2018 (3 updates tracked since 2018).

About Dr. Maynard Prescott Phelps Dmd, Ms NPPES

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

DR. MAYNARD PRESCOTT PHELPS DMD, MS (NPI 1659399053) is an individual oral & maxillofacial surgery provider in Sandston, Virginia, licensed in Virginia (0401411495) and active in the NPI registry since July 2006. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1659399053
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. MAYNARD PRESCOTT PHELPSCredential: DMD, MS
Location Address5510 WHITESIDE ROADSandston, VA 23150-2345
Mailing Address11545 Nuckols Rd Ste AGlen Allen, VA 23059-5666 · (804) 673-8061 · Fax (804) 673-5644
Phone(804) 737-0992
Fax(804) 737-6275
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateJanuary 29, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2024
✔ NPI 1659399053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in VA · 0401411495
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 · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 0401411495 (VA)
5510 WHITESIDE ROAD, Sandston, VA 23150
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Maynard Prescott Phelps Dmd, Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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. LAWRENCE C METZGER DDS
Oral & Maxillofacial Surgery
5510 WHITESIDE ROAD
SANDSTON, VA 23150
Henrico County (804) 737-0992

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 Maynard Phelps's NPI number?

The NPI number for Maynard Phelps is 1659399053. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Maynard Phelps located?

Maynard Phelps practices at 5510 Whiteside Road, Sandston, VA 23150. The listed phone number is (804) 737-0992.

What is Maynard Phelps's specialty?

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

Is Maynard Phelps enrolled in Medicare?

No. Maynard Phelps has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Maynard Phelps accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Maynard Phelps 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 Maynard Phelps was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.