| Coastal Oral Maxillofacial Surgery & Implants, Inc. | |
|
5408 Discovery Park Blvd Suite 101 Williamsburg VA 23188-2893 | |
| (757) 208-0138 | |
| (757) 206-1981 |
| Full Name | Coastal Oral Maxillofacial Surgery & Implants, Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5408 Discovery Park Blvd, Williamsburg, Virginia |
| Authorized Official Name and Position | Kevin Daniel Kiely (OWNER/ORAL SURGEON) |
| Authorized Official Contact | 7572070138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Oral Maxillofacial Surgery & Implants, Inc. 5408 Discovery Park Blvd Suite 101 Williamsburg VA 23188-2893 Ph: (757) 208-0138 | Coastal Oral Maxillofacial Surgery & Implants, Inc. 5408 Discovery Park Blvd Suite 101 Williamsburg VA 23188-2893 Ph: (757) 208-0138 |
| NPI Number | 1982973954 |
|---|---|
| Provider Enumeration Date | 12/21/2011 |
| Last Update Date | 12/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982973954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0401007303 (Virginia) | Primary |
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Terry H Hake Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1761 Jamestown Road, Suite 102, Williamsburg, VA 23185 Phone: 757-229-4115 Fax: 757-229-8297 | |
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Norge Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7450 Richmond Rd, Williamsburg, VA 23188 Phone: 757-564-0804 Fax: 757-564-0819 | |
A Division Of Atlantic Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 Bulifants Blvd, Suite E, Williamsburg, VA 23188 Phone: 757-345-5500 | |
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