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NORTHERN VERMONT ORAL & FACIAL SURGERY NPI 1710950092


NPI Information

NPI: 1710950092
Provider Name: NORTHERN VERMONT ORAL & FACIAL SURGERY
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
310 FISHER RD
SUITE 1
BERLIN, VT
ZIP 05602
Phone: (802) 223-2364
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NORTHERN VERMONT ORAL & FACIAL SURGERY is an oral and maxillofacial surgery dentist in Berlin, 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. NORTHERN VERMONT ORAL & FACIAL SURGERY NPI is 1710950092. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

310 FISHER RD
SUITE 1
BERLIN, VT
ZIP 05602-162
Phone: (802) 223-2364
Fax: (802) 223-9691

The provider's authorized official is Jeffrey W Glosser .
The authorized official title is Partner and has the following contact phone number (802) 223-2364.

The enumeration date for this NPI number is 2/8/2006 and was last updated on 5/14/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1VN2251MEDICARE ID-TYPE UNSPECIFIEDVERMONT
21003048MEDICAIDVERMONT

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: 4/28/2024

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