Blue Ridge Oral Surgery, Inc. in Fishersville - Oral And Maxillofacial Surgery
Blue Ridge Oral Surgery, Inc. - NPI 1710013446
Blue Ridge Oral Surgery, Inc. is a Oral And Maxillofacial Surgery in Fishersville, Virginia. Blue Ridge Oral Surgery, Inc. practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Blue Ridge Oral Surgery, Inc. is 1710013446. The last update date is 2013-07-10.
Blue Ridge Oral Surgery, Inc.'s current location address is 54 S. Medical Park Drive, Fishersville, Virginia. You can contact this provider via phone number 5408862956 and fax number 5408862284. The mailing address for Blue Ridge Oral Surgery, Inc. is 54 S. Medical Park Drive, Fishersville, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blue Ridge Oral Surgery, Inc. |
|---|---|
| Address | 54 S. Medical Park Drive, Fishersville, Virginia |
| Phone Number | 5408862956 |
| Fax Number | 5408862284 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Brandt Todd Matthew |
| Credentials | D.D.S., M. |
| Telephone Number | 5408862956 |
NPI Number Detail
| NPI Number | 1710013446 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2013-07-10 |
Provider Mailing Address Detail
| Address | 54 S. Medical Park Drive |
|---|---|
| City | Fishersville |
| State | Virginia (VA) |
| Post Code | 229392333 |
| Phone Number | 5408862956 |
| Fax Number | 5408862284 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 438000074 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11605304 | CAQH | ||
| 9198564 | VA | -- |
Post Comment/ Review Below
What is the Blue Ridge Oral Surgery, Inc.'s unique identification number?
The Blue Ridge Oral Surgery, Inc. has been assigned the NPI (National Provider Identifier) Number 1710013446 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Blue Ridge Oral Surgery, Inc. is physically located?
The Blue Ridge Oral Surgery, Inc. is physically situated at the following address: 54 S. Medical Park Drive, Fishersville, VA, 229392333.
What is Blue Ridge Oral Surgery, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Blue Ridge Oral Surgery, Inc.'s specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services assign the 1710013446 to Blue Ridge Oral Surgery, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1710013446 to Blue Ridge Oral Surgery, Inc. on 2007-02-26.
As of what date were the details related to Blue Ridge Oral Surgery, Inc. most recently updated or revised?
The information pertaining to Blue Ridge Oral Surgery, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2013-07-10.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1285637785
Address: 101 Deer Run Rd, Elgin, SC
NPI Number: 1851394431
Address: 220 Reservoir St, Harrisonburg, VA