Individual provider · Type 1 NPI

Gene Allen Vandervort Jr., D.D.S./M.D.

Oral & Maxillofacial Surgery (D.M.D.) · Ashburn, VA

NPI number 1679548010 Active

Practice location

44340 Premier Plaza, Suite 100
Ashburn, VA 20147-5074

Fax (703) 729-5300

Specialties and licenses

TaxonomyCodeLicense
Oral & Maxillofacial Surgery (D.M.D.) Primary 204E00000X0101102662 (VA)

Oral & Maxillofacial Surgery (D.M.D.): Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the j…

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About NPI 1679548010

Gene Allen Vandervort Jr., D.D.S./M.D.'s National Provider Identifier is 1679548010, issued on Feb 21, 2006. The primary taxonomy on file is Oral & Maxillofacial Surgery (D.M.D.) (204E00000X), and the practice location is in Ashburn, VA. The record was last updated on Jul 9, 2009.