Vermont Center For Dental Implants And Maxillofacial Surgery, Llc, NPI 1063699767
Oral and Maxillofacial Surgery Clinic/Center in Colchester, VT, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1063699767 |
| NPI Entity Type | Organization |
| Provider Name |
Vermont Center For Dental Implants And Maxillofacial Surgery, Llc
Former Legal Business Name |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 792 College Pkwy Ste 307, Colchester, VT, US |
| Provider Mailing Address | 792 College Pkwy Ste 307, Colchester, VT, US, 054463052 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MRS. Karen Deslauriers |
| Official Position | PRACTICE MANAGER |
| Phone | 802-655-5090 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center |
| Classification | |
| Group | |
| License No. | 061-0001123 |
| License State | VT |
| Description | The specialty of dentistry which includes 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 016-0001123 | VT | No | |||
| No |
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|---|---|---|---|
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LCMHC Clarrissa A Stevens Individual |
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DR. MD Katherine A Lane Individual |
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LICSW Remy Jean Bennett Individual |
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PHD Robyn Kervick Individual |
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Kayla Fac Individual |
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DR. DDS Lisha Tang Individual |
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