| Southside Oral & Facial Surgery | |
|
11971 Iron Bridge Rd Chester VA 23831-1458 | |
| (804) 717-5275 | |
| (804) 748-4017 |
| Full Name | Southside Oral & Facial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 11971 Iron Bridge Rd, Chester, Virginia |
| Authorized Official Name and Position | Bradley Scott Trotter (DENTIST) |
| Authorized Official Contact | 8047175275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Oral & Facial Surgery 11971 Iron Bridge Rd Chester VA 23831-1458 Ph: (804) 717-5275 | Southside Oral & Facial Surgery 11971 Iron Bridge Rd Chester VA 23831-1458 Ph: (804) 717-5275 |
| NPI Number | 1801067285 |
|---|---|
| Provider Enumeration Date | 03/13/2008 |
| Last Update Date | 03/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801067285 | NPI | - | NPPES |
| 9185610 | Medicaid | VA | |
| 219899 | Other | ANTHEM BC&BS | |
| 219900 | Other | ANTHEM BC&BS | |
| 386682 | Other | ANTHEM BC&BS | |
| 386686 | Other | ANTHEM BC&BS | |
| 259641 | Other | ANTHEM BC&BS | |
| 9179952 | Medicaid | VA | |
| 9202377 | Medicaid | VA | |
| 005298 | Other | ANTHEM BC&BS | |
| 005299 | Other | ANTHEM BC&BS | |
| 386684 | Other | ANTHEM BC&BS | |
| 9185611 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4685 (Virginia) | Primary |
Dunham And Dunham, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11701 Chester Rd, Chester, VA 23831 Phone: 804-748-5105 | |
Apex Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10324 Iron Bridge Rd, Chester, VA 23831 Phone: 804-803-9823 Fax: 804-716-4972 | |
David R. Beam And Associates,ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11601 Iron Bridge Rd, Suite 204, Chester, VA 23831 Phone: 804-717-5100 Fax: 804-717-5100 | |
Chesterfield Dentist Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11601 Iron Bridge Rd Ste 204, Chester, VA 23831 Phone: 804-717-5100 | |
Jdm Dental, Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4516 W Hundred Rd, Chester, VA 23831 Phone: 804-909-5709 Fax: 804-748-8053 | |
Walter D. Felton, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10611 Greenyard Way, Ste A, Chester, VA 23831 Phone: 804-717-2099 Fax: 804-717-9383 | |
David R Ferry Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13030 Rivers Bend Rd, Chester, VA 23836 Phone: 804-530-3200 |