Organization · Type 2 NPI
VT Center for Dental Implants and Maxillofacial Surgery LLC
Oral and Maxillofacial Surgery Clinic/Center · Colchester, VT
Practice location
792 College Pkwy Ste 307
Colchester, VT 05446-3052
Fax (802) 655-9366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 016-0001123 (VT) |
| Oral and Maxillofacial Surgery Clinic/Center Primary | 261QS0112X | 061-0001123 (VT) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
Oral and Maxillofacial Surgery Clinic/Center: 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.
About NPI 1063699767
VT Center for Dental Implants and Maxillofacial Surgery LLC's National Provider Identifier is 1063699767, issued on Jan 24, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Colchester, VT. The record was last updated on Apr 25, 2024.