Blue Ridge Oral & Maxillofacial Surgery 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 & Maxillofacial Surgery 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 & Maxillofacial Surgery is 0438000220 (Oral and Maxillofacial Surgery) in Virginia. Blue Ridge Oral & Maxillofacial Surgery 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 & Maxillofacial Surgery 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 & Maxillofacial Surgery
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 & Maxillofacial Surgery 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 & Maxillofacial Surgery 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 & Maxillofacial Surgery 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 & Maxillofacial Surgery at 54 S. Medical Park Drive, Fishersville, Virginia or can call to book an appointment on 540-886-2956. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.