ICON DENTAL BRANDS PLLC NPI 1265376412

NPI Information

  • NPI: 1265376412
  • Provider Name: ICON DENTAL BRANDS PLLC
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Organization
  • Address: 155 KINGSLEY LN STE 250
    NORFOLK, VA
    ZIP 23505
  • Phone: (757) 224-3004

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NPI Details

ICON DENTAL BRANDS PLLC is an oral maxillofacial surgery in Norfolk, VA. The provider is 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. ICON DENTAL BRANDS PLLC NPI is 1265376412. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

155 KINGSLEY LN STE 250
NORFOLK, VA
ZIP 23505-629
Phone: (757) 224-3004

The provider's authorized official is Yugal Behl .
The authorized official title is Owner and has the following contact phone number (757) 374-2785.

The enumeration date for this NPI number is 4/17/2026 and was last updated on 4/17/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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