Oral & Maxillofacial Surgeon Profile - Virginia Board of Dentistry
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Unless otherwised indicated, this information has been self-reported
and has not been verified by the Board of Dentistry.
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Peter William Eisenhardt
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REGISTRATION #0438000046
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Issue Date: 12/10/2001
Expiration Date: 12/31/2022
Status: Expired
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Primary Practice Address
Last Updated 9/29/2016
244 Hydraulic Ridge Road
Charlottesville, VA 22901
Phone: 434-973-3348
Location Details
- Practitioner spends 80% of time at this location.
- Days that practitioner sees patients at this location:
Mon,Tue,Thur,Fri
- Non-English Languages spoken in Office:
Tagalog/Filipino
Additional Practice Address
Last Updated 9/29/2016
1400 SUNSET LANE
CULPEPER, VA 22701
Phone: 540-825-3069
Location Details
- Practitioner spends 20% of time at this location.
- Days that practitioner sees patients at this location:
Tue
- Non-English Languages spoken in Office:
Tagalog/Filipino
Additional Practice Address
Last Updated 9/29/2016
Central Virginia Oral & Facial Surgeons
1400 Sunset Lane
Culpeper, VA 22701
Phone: 540-825-3069
Location Details
- Practitioner spends 20% of time at this location.
- Days that practitioner sees patients at this location:
Mon,Tue,Wed,Thur,Fri
- Non-English Languages spoken in Office:
Tagalog/Filipino
Years in Active Clinical Practice
Last Updated 9/29/2016
Years in Active Clinical Practice Inside US/Canada:
37
Medicaid
Last Updated 9/29/2016
Participate in the Virginia Medicaid program
Is accepting new Medicaid patients
Medicare
Last Updated 9/29/2016
Is a Medicare
Non-participating provider
Is accepting new Medicare patients
Virginia Hospital Affiliations
Last Updated 9/29/2016
Martha Jefferson Hospital - COURTESY STAFF
Hospital Affiliations in States Other Than Virginia
Last Updated 9/29/2016
Dental or Medical School
Last Updated 9/29/2016
Grad School: Virginia Commonwealth University School of Dentistry - Richmond, Virginia
Year Completed: 1981
Dental or Medical Post Graduate School
Last Updated 9/29/2016
General Practice Residency
Camp Pendleton Hospital
Camp Pendleton,
California
USA
Year Residency
Completed: 1982
ORAL AND MAXILLOFACIAL SURGERY
NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH,
VA
USA
Year Residency
Completed: 1990
Continuing Education
Last Updated 9/29/2016
Continuing Hours:
62
Since:
2016
Board Certification - Recognized by the Commission on Dental Accreditation, American Dental Association
Last Updated 9/29/2016
American Board of Oral and Maxillofacial Surgery
Year of Initial Certifications:
1992Current Certification Expires:
2022
American Board of Oral and Maxillofacial Surgery
Year of Initial Certifications:
1992Current Certification Expires:
2022
American Board of Oral and Maxillofacial Surgery
Year of Initial Certifications:
1992Current Certification Expires:
2022
Board Eligibility - Recognized by the Commission on Dental Accreditation, American Dental Association
Last Updated 9/29/2016
None Reported
Certification for Cosmetic Procedures
Board Certified
Blepharoplasty
Browlift/open or endoscopic
Rhinoplasty
and Sumental Liposuction.
Honors and Awards - Optional
Last Updated 9/29/2016
Practitioners had the option of completing this section. This practitioner has not provided any information regarding honors and awards.
Academic Appointments in the most recent 10 years )
Last Updated 9/29/2016
Rank:
Associate Professor
Years:
2000-2002
Academic Appointments - Non-US ( in the most recent 10 years )
Last Updated 9/29/2016
None Reported
Publications in Peer-reviewed literature ( up to 10 in the most recent 5 years )
Last Updated 9/29/2016
None Reported
Actions Taken by States/Organizations Other than the Virginia Board of Dentistry.
Last Updated 9/29/2016
None Reported
Actions Taken by Virginia Board of Dentistry - Verified by Board
No discipline on record at the Board of Dentistry
Paid Claims in the most recent 10 years
Last Updated 9/29/2016
The licensee has reported the following paid claims in the past ten years:
None Reported
Disclaimer:
On this site you will find information about the dental practices of oral and maxillofacial
surgeons registered in Virginia. The information on this site comes from
two sources.
1) The following entries are taken from the database on licensees maintained
by the DEPARTMENT OF HEALTH PROFESSIONS
- Name
- License number
- Date of issue
- Date of expiration
- Status
- Certification for cosmetic procedures
- Board of Dentistry Notices and Orders
2) The following entries are provided by the ORAL AND MAXILLOFACIAL SURGEON
A. Required information
- Practice information (location, telephone number, translating services,
percentage of time spent at location(s)
- Education
- Years in active clinical practice
- Board Certifications
- Hospital affiliations
- Academic appointments
- Publications
- Medicaid participation
- Actions
- Felony convictions
- Paid claims in the most recent ten years
B. Optional information
- Non-emergency email address
- Insurance plans accepted or managed care plans in which he participates
- Hours of continuing education
- Subspecialties obtained
- Honors and awards received
- Maiden name
- Web site address
- Practice name in the practice location
- Days of the week as practice location
- Medicare information
An oral and maxillofacial surgeon is required to keep his profile current
by recording any changes to the information within 30 days of the occurrence
of the change. It is important to note that the Virginia Board of Dentistry
does not verify the accuracy and timeliness of the information provided
by the oral and maxillofacial surgeon but it will investigate any complaints
about the accuracy of the profile information on current licensees. A licensee
is only obligated to maintain his profile while he has a current active
license.
1/27/2026