Individual provider · Type 1 NPI

Paul Gregory Boerman, DDS

Oral and Maxillofacial Surgery (Dentist) · South Burlington, VT

NPI number 1104830512 Active

Practice location

44 Timber Lane
South Burlington, VT 05403-7282

Fax (802) 864-1511

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X0160000990 (VT)

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.

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About NPI 1104830512

Paul Gregory Boerman, DDS's National Provider Identifier is 1104830512, issued on Jul 28, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in South Burlington, VT. The record was last updated on Jul 8, 2007.