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SHENANDOAH ORAL & MAXILLOFACIAL SURGERY INC NPI 1972940393


NPI Information

NPI: 1972940393
Provider Name: SHENANDOAH ORAL & MAXILLOFACIAL SURGERY INC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
170 GARBER LN
WINCHESTER, VA
ZIP 22602
Phone: (540) 667-0100
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SHENANDOAH ORAL & MAXILLOFACIAL SURGERY INC is an oral and maxillofacial surgery dentist in Winchester, VA. The provider is 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. SHENANDOAH ORAL & MAXILLOFACIAL SURGERY INC NPI is 1972940393. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

170 GARBER LN
WINCHESTER, VA
ZIP 22602-386
Phone: (540) 667-0100
Fax: (540) 667-0121

The provider's authorized official is Tara Ann Fugate .
The authorized official title is Practice Administrator and has the following contact phone number (703) 897-8983.

The enumeration date for this NPI number is 5/24/2013 and was last updated on 9/18/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery0401006414VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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