OrganizationActive
Vcu Oral-Facial Surgery and Services LLC
NPI 1215502125 · Oral & Maxillofacial Surgery (D.M.D.) · Richmond, VA
Provider details
- NPI number
- 1215502125
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Parent organization
- Dentistry Vcu
- Organization subpart
- Yes
- Authorized official
- Sandy Kroslack, Credentialing Specialist(904) 201-1428
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Dental Providers
- General Practice Dentistry1223G0001X
Dental Providers
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
- Orofacial Pain Dentistry1223X2210X
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
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
520 N 12th St
Richmond, VA 23298-5064
Phone: (804) 628-6637
Street-level locationGet directions
Mailing address
520 N 12th St
Richmond, VA 23298-5064
Additional practice locations (4)
- 521 N 11th StRichmond, VA 23298-5016Phone: (804) 628-0310
- 521 N 11th StRichmond, VA 23298-5016Phone: (804) 628-6637
- 1001 E Leigh StRichmond, VA 23298-5004Phone: (804) 628-6637
- 1250 E Marshall StRichmond, VA 23298-5023Phone: (804) 628-6637
Registry dates
- Enumerated
- 2021-05-24
- Last updated
- 2023-07-21
- Certified
- 2023-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.