Individual
DR. MATTHEW TODD BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MD
Contact information
Practice address
54 S MEDICAL PARK DRIVE, FISHERSVILLE, VA 22939
(540) 886-2956
(540) 886-2284
Mailing address
54 S MEDICAL PARK DRIVE, FISHERSVILLE, VA 22939
(540) 886-2956
(540) 886-2284
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401410707
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9198564
—
VA
Enumeration date
09/20/2006
Last updated
05/12/2010
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