Organization · Type 2 NPI
Jedidiah L Janisse DMD and Associates, Ltd
Oral and Maxillofacial Surgery Clinic/Center · Woodstock, VT
Practice location
217 Maxham Meadow Way # 10, Suite 4C
Woodstock, VT 05091-1162
Fax (802) 457-3619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 016-0002247 (VT) |
| Oral and Maxillofacial Surgery Clinic/Center Primary | 261QS0112X | 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.
Another provider at this address
About NPI 1083850374
Jedidiah L Janisse DMD and Associates, Ltd's National Provider Identifier is 1083850374, issued on Dec 17, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Woodstock, VT. The record was last updated on Oct 11, 2019.