BLUE RIDGE ORAL & MAXILLOFACIAL SURGERY
NPI 1710013446
Dentist - Oral and Maxillofacial Surgery in Fishersville, VA

Q: What is Blue Ridge Oral Surgery, Inc.'s NPI number?

The NPI number for Blue Ridge Oral Surgery, Inc. is 1710013446. It was assigned to this organization in the NPPES registry on February 26, 2007. The provider is doing business as Blue Ridge Oral & Maxillofacial Surgery.

Q: What is Blue Ridge Oral Surgery, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since February 26, 2007

54 S. MEDICAL PARK DRIVE, FISHERSVILLE, VA 22939(540) 886-2956(540) 886-2284 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Blue Ridge Oral & Maxillofacial Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE RIDGE ORAL & MAXILLOFACIAL SURGERY (NPI 1710013446) is a healthcare organization registered as an oral and maxillofacial surgery in Fishersville, Virginia and active in the NPI registry since February 2007. The organization lists Matthew Todd Brandt, President, as its authorized official.

NPPES Registry Identity

NPI1710013446

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameBLUE RIDGE ORAL SURGERY, INC.

Location Address54 S. MEDICAL PARK DRIVEFishersville, VA 22939-2333

Mailing Address54 S. Medical Park DriveFishersville, VA 22939-2333 · (540) 886-2956 · Fax (540) 886-2284

Phone(540) 886-2956

Fax(540) 886-2284

Organization SubpartNo

Authorized OfficialMatthew Todd BrandtPresident · (540) 886-2956

Enumeration DateFebruary 26, 2007

Last NPPES UpdateJuly 10, 2013

✔ NPI 1710013446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in VA · 0438000220✔ Licensed in VA · 0438000074✔ Licensed in VA · 0401410707

Definition

An oral and maxillofacial surgery dentist specialized in 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.

54 S. MEDICAL PARK DRIVE, Fishersville, VA 22939

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Other Names 1

Doing Business AsBlue Ridge Oral & Maxillofacial Surgery

Other Identifiers 2

Medicaid9198564VA

Other11605304Caqh

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Ridge Oral Surgery, Inc.'s NPI number?

The NPI number for Blue Ridge Oral Surgery, Inc. is 1710013446. It was assigned to this organization in the NPPES registry on February 26, 2007. The provider is doing business as Blue Ridge Oral & Maxillofacial Surgery.

Where is Blue Ridge Oral Surgery, Inc. located?

Blue Ridge Oral Surgery, Inc. is located at 54 S. Medical Park Drive, Fishersville, VA 22939. The listed phone number is (540) 886-2956.

What is Blue Ridge Oral Surgery, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Blue Ridge Oral Surgery, Inc. was last updated on July 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.