OrganizationActive
Blue Ridge Oral Surgery, Inc.
NPI 1710013446 · Oral and Maxillofacial Surgery (Dentist) · Fishersville, VA
Provider details
- NPI number
- 1710013446
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Matthew Brandt, President(540) 886-2956
- License
- 0438000074 (VA)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Practice location
54 S. Medical Park Drive
Fishersville, VA 22939-2333
Phone: (540) 886-2956
Fax: (540) 886-2284
Approximate (ZIP-level) locationGet directions
Mailing address
54 S. Medical Park Drive
Fishersville, VA 22939-2333
Other names (DBA / former)
- Doing business as
- Blue Ridge Oral & Maxillofacial Surgery
Registry dates
- Enumerated
- 2007-02-26
- Last updated
- 2013-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.