Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Ridge Oral Surgery, Inc

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1710013446

Blue Ridge Oral Surgery, Inc is an Oral and Maxillofacial Surgery (Dentist) in Fishersville, Virginia. Licensed in Virginia. Registered with an NPI since 2007.

Licensed in
VA
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

54 S Medical Park Dr
Fishersville, VA 22939-2333
Phone: (540) 886-2956
Fax: (540) 886-2284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 0438000220 (VA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 0438000074 (VA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 0401410707 (VA)

Record details

NPI number1710013446
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Brandt — President · (540) 886-2956
Other names Blue Ridge Oral & Maxillofacial Surgery
NPI enumeratedFebruary 26, 2007
Last updated in NPPESJuly 10, 2013
Mailing address54 S. Medical Park Drive, Fishersville, VA 22939-2333

Other providers in Fishersville