Organization · Type 2 NPI
VT Center for Dental Implants and Maxillofacial Surgery LLC
Oral and Maxillofacial Surgery (Dentist) · Stowe, VT
Practice location
1009 S Main St Ste 1
Stowe, VT 05672-5275
Fax (802) 655-9366
Mailing address
792 College Pkwy Ste 307
Colchester, VT 05446-3052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
| Oral and Maxillofacial Surgery Clinic/Center | 261QS0112X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
Oral and Maxillofacial Surgery (Dentist): 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 1104465657
VT Center for Dental Implants and Maxillofacial Surgery LLC's National Provider Identifier is 1104465657, issued on Jan 2, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Stowe, VT. The record was last updated on Apr 9, 2024.