| Bluhm, Dorsch And Vandervort, Pc | |
|
44340 Premier Plz Suite 100 Ashburn VA 20147-5025 | |
| (703) 729-8700 | |
| (703) 729-5300 |
| Full Name | Bluhm, Dorsch And Vandervort, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 44340 Premier Plz, Ashburn, Virginia |
| Authorized Official Name and Position | Andrew Edward Bluhm (PRESIDENT) |
| Authorized Official Contact | 7037298700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluhm, Dorsch And Vandervort, Pc 44340 Premier Plz Suite 100 Ashburn VA 20147-5073 Ph: (703) 729-8700 | Bluhm, Dorsch And Vandervort, Pc 44340 Premier Plz Suite 100 Ashburn VA 20147-5025 Ph: (703) 729-8700 |
| NPI Number | 1265578413 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 01/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265578413 | NPI | - | NPPES |
| 450039 | Other | VA | BCBS |
| 067698 | Other | VA | BCBS |
| 066607 | Other | VA | BCBS |
| 450038 | Other | VA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| 174400000X | Specialist | 0401007764 (Virginia) | Secondary |
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