Drs Brock, Henderson, Di Prisco, Ravelo and Green Inc
NPI 1073211637 · Oral and Maxillofacial Surgery (Dentist) · Charleston, WV
Drs Brock, Henderson, Di Prisco, Ravelo and Green Inc is a Oral and Maxillofacial Surgery (Dentist) organization in Charleston, WV (NPI 1073211637).
Provider details
- NPI number
- 1073211637
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Lesley Coyner, Accts Receivable Manager(304) 720-7819
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Mt State Oral & Facial Surgery
- Doing business as
- Mt State Oral & Facial Surgery
Registry dates
- Enumerated
- 2023-02-22
- Last updated
- 2025-05-29
- Certified
- 2025-05-29
Frequently asked questions
- What is Drs Brock, Henderson, Di Prisco, Ravelo and Green Inc's NPI number?
- Drs Brock, Henderson, Di Prisco, Ravelo and Green Inc's National Provider Identifier (NPI) is 1073211637, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Drs Brock, Henderson, Di Prisco, Ravelo and Green Inc?
- Drs Brock, Henderson, Di Prisco, Ravelo and Green Inc is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Drs Brock, Henderson, Di Prisco, Ravelo and Green Inc located?
- Drs Brock, Henderson, Di Prisco, Ravelo and Green Inc's practice location on file with NPPES is 869 Oakwood Rd, Charleston, WV 25314-2057.
- What is Drs Brock, Henderson, Di Prisco, Ravelo and Green Inc's phone number?
- The practice phone number listed in the NPPES registry for Drs Brock, Henderson, Di Prisco, Ravelo and Green Inc is (304) 345-1092.
- Who is the authorized official for Drs Brock, Henderson, Di Prisco, Ravelo and Green Inc?
- The authorized official listed on Drs Brock, Henderson, Di Prisco, Ravelo and Green Inc's NPPES record is Lesley Coyner, Accts Receivable Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Drs Brock, Henderson, Di Prisco, Ravelo and Green Inc's NPI active?
- Yes — Drs Brock, Henderson, Di Prisco, Ravelo and Green Inc's NPI (1073211637) is active in the NPPES registry as of the last update on 2025-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.