Individual provider · Type 1 NPI

Thomas William Connolly, DMD

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

NPI number 1750395166 Active

Practice location

118 Tilley Drive, Suite 102
South Burlington, VT 05403-7282

Fax (802) 862-5769

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X0160000786 (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 1750395166

Thomas William Connolly, DMD's National Provider Identifier is 1750395166, 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 Oct 17, 2007.