| Winchester Oral Surgery Center Pc | |
|
172 Linden Dr Suite 111 Winchester VA 22601-2891 | |
| (540) 535-0269 | |
| (540) 535-0109 |
| Full Name | Winchester Oral Surgery Center Pc |
|---|---|
| Speciality | Dentist |
| Location | 172 Linden Dr, Winchester, Virginia |
| Authorized Official Name and Position | Vincent F Coviello (OWNER) |
| Authorized Official Contact | 5405350269 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winchester Oral Surgery Center Pc 172 Linden Dr Suite 111 Winchester VA 22601-2891 Ph: (540) 535-0269 | Winchester Oral Surgery Center Pc 172 Linden Dr Suite 111 Winchester VA 22601-2891 Ph: (540) 535-0269 |
| NPI Number | 1679829311 |
|---|---|
| Provider Enumeration Date | 07/31/2012 |
| Last Update Date | 07/31/2012 |
| Medicare PECOS PAC ID | 1254581788 |
|---|---|
| Medicare Enrollment ID | O20121018000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679829311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Vincent F Coviello |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1376687541 PECOS PAC ID: 3577626829 Enrollment ID: I20090113000147 |
| Provider Name | Eric Drew Starley |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1447577069 PECOS PAC ID: 3274759915 Enrollment ID: I20140801000431 |
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