MAYNARD PRESCOTT PHELPS

SANDSTON, VA
NPI1659399053
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: VA  0401411495)
Additional Taxonomies1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: VA  0401411495)
Enumeration Date2006-07-17
Last Update Date2024-01-29
Business Address
Dr. MAYNARD PRESCOTT PHELPS DMD, MS
5510 WHITESIDE ROAD
SANDSTON, VA 23150-2345
Phone number: 804-737-0992
Mailing Address
Dr. MAYNARD PRESCOTT PHELPS DMD, MS
11545 NUCKOLS RD STE A
GLEN ALLEN, VA 23059-5666
Phone number: 804-673-8061