Drs Brock, Henderson, Di Prisco, Ravelo and Green Inc
Drs Brock, Henderson, Di Prisco, Ravelo and Green Inc is an Oral and Maxillofacial Surgery (Dentist) in Parkersburg, West Virginia. Licensed in West Virginia. Registered with an NPI since 2013.
- Licensed in
- WV
- In the registry since
- 2013
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
417 Grand Park Dr Ste 103Parkersburg, WV 26105
Phone: (304) 699-5010
Fax: (304) 553-7268
Show map & directions
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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 number | 1356772677 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lesley Coyner — Credentialing · (304) 720-7819 |
| Other names | Mt State Oral & Maxillofacial Surge; Mt State Oral & Maxillofacial Surge |
| NPI enumerated | December 12, 2013 |
| Last updated in NPPES | May 30, 2025 |
| Certification date | May 30, 2025 |
| Mailing address | 103 Station Place Way, Hurricane, WV 25526-8747 |
Other providers in Parkersburg
-
Drs B Noorbakhsh and T Dean Bobbitt PLLC
2801 Dudley Ave Ste C, Parkersburg, WV 26101-2105 · (304) 428-2800
-
Dr. Brandi Lantz, DDS
417 Grand Park Dr Ste 103, Parkersburg, WV 26105-4049 · (304) 699-5010
-
Dr. Babak D. Noorbakhsh, DDS
2801 Dudley Ave Ste C, Parkersburg, WV 26101-2105 · (304) 428-2800