Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Drs Brock, Henderson, Di Prisco, Ravelo and Green Inc

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1053561779

Drs Brock, Henderson, Di Prisco, Ravelo and Green Inc is an Oral and Maxillofacial Surgery (Dentist) in Huntington, West Virginia. Licensed in West Virginia. Registered with an NPI since 2008.

Licensed in
WV
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3135 16th Street Rd Ste 20
Huntington, WV 25701
Phone: (304) 399-1092
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X (WV)

Record details

NPI number1053561779
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lesley Coyner — Credentialing · (304) 720-7819
Other names Mt State Oral & Maxillofacial Surgeons; Mt State Oral & Maxillofacial Surgeons
NPI enumeratedSeptember 30, 2008
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025
Mailing address103 Station Place Way, Hurricane, WV 25526-8747

Other providers in Huntington