Implant SpecialistFinder

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

Oral surgery practice in Charleston, WV

Registered specialist

Call (304) 345-1092Send a messageMap ↗

Public-record details

Address
869 Oakwood Rd, Charleston, WV 25314
Phone
(304) 345-1092
Listed under
Oral & maxillofacial surgeons, Specialty practices
NPI
1073211637
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Oral and Maxillofacial Surgery (1223S0112X)
Authorized official
Lesley Coyner, Accts Receivable Manager
NPI first issued
Feb 22, 2023
NPI record last updated
May 29, 2025

NPI 1073211637 is active in the federal NPPES registry (CMS) with Oral and Maxillofacial Surgery, an ADA-recognized dental specialty, as its primary taxonomy. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Oral and maxillofacial surgeons are trained in surgery of the mouth and jaws, including placing implants, extractions, bone grafts and sinus lifts, and in anesthesia. Dentists who are not specialists can also place implants; the specialty here is the one the provider registered as primary.

View NPI 1073211637 in the official registry ↗

Checking credentials: the specialty shown is the one this provider registered with the NPI system. Your state dental board's license lookup confirms the license, and the American Board of Prosthodontics, the American Board of Oral and Maxillofacial Surgery and the American Board of Periodontology each list their board-certified members.

Other implant specialists in Charleston

Ashleigh Weyh, MD, DMD, MPH415 Morris St Ste 309 · Charleston, WV 25301 · (304) 388-3290 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial SurgeryRegistered specialistLicense # listed (WV)Augusto Garcia-Aguirre, DMD75 Rhl · Charleston, WV 25309 · (681) 505-0953 · PeriodontistsRegistered specialty: PeriodonticsRegistered specialistLicense # listed (PR)Caitlyn McGue, DDS, MD415 Morris St Ste 309 · Charleston, WV 25301 · (304) 388-2950 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial SurgeryRegistered specialistLicense # listed (TX)Drs Brock, Henderson, Di Prisco, Ravelo and Green INC1215 Virginia St E · Charleston, WV 25301 · (304) 345-1092 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial Surgery · PracticeRegistered specialistDrs Brock, Henderson, Di Prisco, Ravelo and Green INC4307 Maccorkle Ave Se · Charleston, WV 25304 · (304) 345-1092 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial Surgery · PracticeRegistered specialistJose Ravelo, DDS869 Oakwood Rd · Charleston, WV 25314 · (304) 345-1092 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial SurgeryRegistered specialistLicense # listed (WV)Kenny Nguyen, DDS4307 Maccorkle Ave Se · Charleston, WV 25304 · (304) 720-7819 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial SurgeryRegistered specialistLicense # listed (WV)Andrew Zegeer112 Morris Street, Ste 2 · Charleston, WV 25301 · (304) 833-9033 · PeriodontistsRegistered specialty: PeriodonticsRegistered specialistLicense # listed (WV)

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