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VT CENTER FOR DENTAL IMPLANTS AND MAXILLOFACIAL SURGERY LLC NPI 1104465657


NPI Information

NPI: 1104465657
Provider Name: VT CENTER FOR DENTAL IMPLANTS AND MAXILLOFACIAL SURGERY LLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1009 S MAIN ST STE 1
STOWE, VT
ZIP 05672
Phone: (802) 253-2761
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VT CENTER FOR DENTAL IMPLANTS AND MAXILLOFACIAL SURGERY LLC is an oral and maxillofacial surgery dentist in Stowe, VT. The provider is an oral and maxillofacial surgery dentist specialized in 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. VT CENTER FOR DENTAL IMPLANTS AND MAXILLOFACIAL SURGERY LLC NPI is 1104465657. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1009 S MAIN ST STE 1
STOWE, VT
ZIP 05672-275
Phone: (802) 253-2761
Fax: (802) 655-9366

The provider's authorized official is Karen Deslauriers .
The authorized official title is Billing Manager and has the following contact phone number (802) 655-5090.

The enumeration date for this NPI number is 1/2/2020 and was last updated on 4/9/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes
2261QS0112XClinic/CenterOral and Maxillofacial SurgeryNo
3332B00000XDurable Medical Equipment & Medical SuppliesNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.