Organization Active NPI

Winchester Oral Surgery Center PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Winchester, VA
National Provider Identifier
1679829311
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
WINCHESTER ORAL SURGERY CENTER PC
Practice address
172 Linden Dr
Suite 111
Winchester, VA 22601-2891
Phone
(540) 535-0269
Fax
(540) 535-0109
NPI assigned
Jul 31, 2012
Last updated
Jul 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vincent F Coviello, DDS
Title
Owner
Phone
(540) 535-0269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

172 Linden Dr
Suite 111
Winchester, VA 22601-2891

Mailing address

172 Linden Dr
Suite 111
Winchester, VA 22601-2891
Phone (540) 535-0269

National Provider Directory

National Provider Directory

Locations

1860 Amherst St
Winchester, VA 22601
Phone (540) 536-7870

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1679829311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 LINDEN DR",
            "address_2": "SUITE 111",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012891",
            "telephone_number": "540-535-0269",
            "fax_number": "540-535-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 LINDEN DR",
            "address_2": "SUITE 111",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012891",
            "telephone_number": "540-535-0269",
            "fax_number": "540-535-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCHESTER ORAL SURGERY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "COVIELLO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-535-0269",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.