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SHENANDOAH ORAL & MAXILLOFACIAL SURGERY INC
NPI 1972940393
Dentist - Oral and Maxillofacial Surgery in Winchester, VA

Active since May 24, 2013
170 GARBER LN, WINCHESTER, VA 22602(540) 667-0100(540) 667-0121 Get Directions Write a Review

NPPES record last updated: September 18, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 18, 2019, Jan 2, 2019 (2 updates tracked since 2019).

About Shenandoah Oral & Maxillofacial Surgery Inc NPPES

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

SHENANDOAH ORAL & MAXILLOFACIAL SURGERY INC (NPI 1972940393) is a healthcare organization registered as an oral and maxillofacial surgery in Winchester, Virginia and active in the NPI registry since May 2013. The organization lists Tara Ann Fugate, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1972940393
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSHENANDOAH ORAL & MAXILLOFACIAL SURGERY INC
Location Address170 GARBER LNWinchester, VA 22602-4386
Mailing Address170 Garber LnWinchester, VA 22602-4386 · (540) 667-0100 · Fax (540) 667-0121
Phone(540) 667-0100
Fax(540) 667-0121
Organization SubpartNo
Authorized OfficialTara Ann FugatePractice Administrator · (703) 897-8983
Enumeration DateMay 24, 2013
Last NPPES UpdateSeptember 18, 20192 updates tracked since enumeration
✔ NPI 1972940393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in VA · 0401006414
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.

170 GARBER LN, Winchester, VA 22602
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

What is SHENANDOAH ORAL & MAXILLOFACIAL SURGERY INC's NPI number?

The NPI number assigned to this healthcare provider is 1972940393, enumerated as an "organization" on May 24, 2013.

Where is the provider located?

The provider is located at 170 GARBER LN WINCHESTER, VA 22602 and the phone number is (540) 667-0100.

What is the provider's specialty?

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.