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Commonwealth Oral & Facial Surgery, PC

NPI 1144274382ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Richmond, VA

Dentist, Oral and Maxillofacial Surgery in Richmond, Virginia, registered in NPPES in May 2006. The authorized official on file is Gwen Eva Kennon, Senior Billing Specialist. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1144274382
StatusActive
Entity typeOrganization
NPI issuedMay 20, 2006
Last updated in NPPESFeb 20, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Oral and Maxillofacial Surgery Primary1223S0112X0135583-3VA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (VA)

Medicare sources and data years

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