Organization
BLUHM, DORSCH AND VANDERVORT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW EDWARD BLUHM D.D.S (PRESIDENT)
(703) 729-8700
Entity
Organization
Contact information
Practice address
44340 PREMIER PLZ, SUITE 100, ASHBURN, VA 20147-5025
(703) 729-8700
(703) 729-5300
Mailing address
44340 PREMIER PLZ, SUITE 100, ASHBURN, VA 20147-5073
(703) 729-8700
(703) 729-5300
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
174400000X
Specialist
0401007764
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066607
BCBS
VA
01
—
067698
BCBS
VA
01
—
450038
BCBS
VA
01
—
450039
BCBS
VA
Enumeration date
01/29/2007
Last updated
01/25/2022
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