Middle Peninsula Oral and Facial Surgery LLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

0438000297 Issued in VA

Legal business name

MIDDLE PENINSULA ORAL AND FACIAL SURGERY LLC

Practice address

7547 Medical Dr
Gloucester, VA 23061-4351

Phone

(804) 693-4220

NPI assigned

Feb 13, 2012

Last updated

Feb 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Morgan, DDS

Title

Owner/Surgeon

Phone

(804) 693-4220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1891068417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1056",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230611056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7547 MEDICAL DR",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230614351",
            "telephone_number": "804-693-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE PENINSULA ORAL AND FACIAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/SURGEON",
        "authorized_official_telephone_number": "804-693-4220",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0438000297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin W Ressler, MD Surgeon PC T/a Gloucester Surgery (Gloucester Surgery)
• Layton William Merithew, DC
• Caci Kathleen Meyers, DO
• Middle Peninsula Northern Neck Community Services Board
• Middle Peninsula Northern Neck Mental Health & Retardation
• Pamela Minor, LPC
• Jozie Minter, LCSW
• Mobjack Medical Group
• Joseph Morris III, DO
• Vanessa Morris, LPC

• Oral and Maxillofacial Surgery Clinic/Center in Gloucester, VA
• Providers in Gloucester, VA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.