Implant SpecialistFinder

Peter Broccoli

Oral & maxillofacial surgeon in Midlothian, VA

Registered specialistLicense # listed (VA)

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Public-record details

Address
1807 Huguenot Rd Ste 120, Midlothian, VA 23113
Phone
(804) 354-1600
Listed under
Oral & maxillofacial surgeons
NPI
1356921142
NPI status
Active in the NPPES registry
Provider type
Individual provider
Registered specialty (self-reported taxonomy)
Oral and Maxillofacial Surgery (1223S0112X)
License number on NPI record
0401419456 (VA)
NPI first issued
Apr 14, 2021
NPI record last updated
Jun 23, 2025

NPI 1356921142 is active in the federal NPPES registry (CMS) with Oral and Maxillofacial Surgery, an ADA-recognized dental specialty, as its primary taxonomy; license 0401419456 (VA) is listed on the record. 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 individual clinician. 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 1356921142 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.

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