Organization · Type 2 NPI

Blue Ridge Oral Surgery, Inc.

Oral and Maxillofacial Surgery (Dentist) · Fishersville, VA

NPI number 1710013446 Active

Practice location

54 S. Medical Park Drive
Fishersville, VA 22939-2333

Fax (540) 886-2284

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X0438000074 (VA)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X0438000220 (VA)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X0401410707 (VA)

Oral and Maxillofacial Surgery (Dentist): 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.

About NPI 1710013446

Blue Ridge Oral Surgery, Inc.'s National Provider Identifier is 1710013446, issued on Feb 26, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fishersville, VA. The record was last updated on Jul 10, 2013.