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General NPI Number Information
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NPI Number | 1255278065
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Entity Type | Organization
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Legal Business Name | MAXILLOFACIAL SOLUTIONS, PLLC
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 600 GRESHAM DR
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City | NORFOLK
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State | VA
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Zip | 23507-1904
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Country | US
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Telephone | 915-499-0386
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 21
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City | NASSAWADOX
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State | VA
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Zip | 23413-0021
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Country | US
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Telephone | 757-919-0208
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MR. RONALD F MATTHEWS JR.
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Credential |
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Telephone | 757-894-4329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number |
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License Number State |
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