Blue Ridge Oral Surgery, Inc.
Oral and Maxillofacial Dental Clinic
54 S. Medical Park Drive, Fishersville
Virginia, 22939-2333
540-886-2956 540-886-2284
Maps & DirectionsBlue Ridge Oral Surgery, Inc. is a Oral and Maxillofacial Dental Clinic in Fishersville, Virginia. It is located at 54 S. Medical Park Drive, Fishersville, VA and its contact number is 540-886-2956. The authorized person for Blue Ridge Oral Surgery, Inc. is Matthew Todd Brandt
who is President of the clinic and their contact number is 540-886-2956. The primary license number for Blue Ridge Oral Surgery, Inc. is 0438000220 (Oral and Maxillofacial Surgery) in Virginia.
Blue Ridge Oral Surgery, Inc. Clinic deals with 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.
Complete Clinic Profile:
Blue Ridge Oral Surgery, Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Blue Ridge Oral Surgery, Inc. |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 54 S. Medical Park Drive, Fishersville,
Virginia, 22939-2333 |
| Phone: | 540-886-2956 |
| Fax: | 540-886-2284 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Matthew Todd Brandt |
| Position: | President |
| Contact Number: | 540-886-2956 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Blue Ridge Oral Surgery, Inc. clinic are as mentioned below.
| NPI Number: | 1710013446 |
| NPI Enumeration Date: | 26 Feb, 2007 |
| NPI Last Update On: | 10 Jul, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Blue Ridge Oral Surgery, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 0438000220 | Virginia | Primary | |
| Oral and Maxillofacial Surgery | 0438000074 | Virginia | Secondary | |
| Oral and Maxillofacial Surgery | 0401410707 | Virginia | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 11605304 | Other | | Caqh |
| 9198564 | Medicaid | Virginia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Blue Ridge Oral Surgery, Inc.
54 S. Medical Park Drive,
Fishersville, Virginia |
| Zip: | 22939-2333 |
| Phone Number: | 540-886-2956 |
| Fax Number: | 540-886-2284 |
Patients can reach Blue Ridge Oral Surgery, Inc. at
54 S. Medical Park Drive, Fishersville, Virginia or can
call to book an appointment on 540-886-2956.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.