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DRS KRAJEKIANBROCKHENDERSON & DIPRISCO INC NPI 1720734684


NPI Information

NPI: 1720734684
Provider Name: DRS KRAJEKIAN,BROCK,HENDERSON & DIPRISCO INC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
895 E WASHINGTON AVE
VINTON, VA
ZIP 24179
Phone: (304) 425-8220
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DRS KRAJEKIAN,BROCK,HENDERSON & DIPRISCO INC is an oral and maxillofacial surgery dentist in Vinton, VA. The provider is 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. DRS KRAJEKIAN,BROCK,HENDERSON & DIPRISCO INC NPI is 1720734684. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

895 E WASHINGTON AVE
VINTON, VA
ZIP 24179-105
Phone: (304) 425-8220

The provider's authorized official is Lesley Marie Coyner .
The authorized official title is Credentialing and has the following contact phone number (304) 720-7819.

The enumeration date for this NPI number is 3/1/2022 and was last updated on 3/1/2022.


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
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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