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Blue Ridge Oral Surgery, Inc.
Oral and Maxillofacial Surgery (Dentist) in Fishersville, Virginia
NPI 1710013446

Blue Ridge Oral Surgery, Inc. is a Oral and Maxillofacial Surgery (Dentist) based in Fishersville, VA and is specialized in Oral and Maxillofacial Surgery. Blue Ridge Oral Surgery, Inc. practices in Fishersville, VA. The NPI Number for Blue Ridge Oral Surgery, Inc. is 1710013446 and holds a License No. 0438000074 (Virginia).

The current practice location address for Blue Ridge Oral Surgery, Inc. is 54 S. Medical Park Drive, Fishersville, VA and can be reached out via phone at 540-886-2956 and via fax at 540-886-2284.

Location: 54 S. Medical Park Drive, Fishersville, VA, 22939-2333
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710013446
Provider Name
Blue Ridge Oral Surgery, Inc.
Credential
Provider Entity Type
Organization
Address
54 S. Medical Park Drive, Fishersville, VA, 22939-2333
Phone Number
540-886-2956
Fax Number
540-886-2284
Provider Enumeration Date
02/26/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11605304 01 CAQH
9198564 05 VA
institution
Provider Business Practice Location Address Details
Address
54 S. Medical Park Drive
City
Fishersville
State
Virginia
Zip
22939-2333
Phone Number
540-886-2956
Fax Number
540-886-2284
person
Provider Business Mailing Address Details
Address
54 S. Medical Park Drive
City
Fishersville
State
Virginia
Zip
22939-2333
Phone Number
540-886-2956
Fax Number
540-886-2284
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
0438000074 (Virginia)
Definition
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.
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