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CONNECTICUT VALLEY ORAL SURGERY ASSOCIATES PC NPI 1912928946


NPI Information

NPI: 1912928946
Provider Name: CONNECTICUT VALLEY ORAL SURGERY ASSOCIATES, PC
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
368 CANAL ST
BRATTLEBORO, VT
ZIP 05301
Phone: (802) 254-9418
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CONNECTICUT VALLEY ORAL SURGERY ASSOCIATES, PC is an oral maxillofacial surgery in Brattleboro, VT. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. CONNECTICUT VALLEY ORAL SURGERY ASSOCIATES, PC NPI is 1912928946. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

368 CANAL ST
BRATTLEBORO, VT
ZIP 05301-618
Phone: (802) 254-9418
Fax: (802) 254-2563

The provider's authorized official is June M Gonzales .
The authorized official title is Administrator and has the following contact phone number (413) 774-2961.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 10/17/2012.


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
1204E00000XOral & 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
12474MEDICARE ID-TYPE UNSPECIFIED

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: 11/14/2023

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