Vt Center for Dental Implants and Maxillofacial Surgery LLC

NPI #1104465657 in Stowe, Vermont

Provider Information

NPI Number: 1104465657
Entity Type: Organization
Organization Name: Vt Center for Dental Implants and Maxillofacial Surgery LLC
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Jan 2, 2020
Last Updated: Apr 9, 2024

Practice Location

Address: 1009 S MAIN ST STE 1
City: Stowe
State: Vermont
ZIP Code: 05672-5275
Phone: (802) 253-2761

Authorized Official

Name: MRS. KAREN DESLAURIERS
Title: BILLING MANAGER
Phone: (802) 655-5090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	261QS0112X
Durable Medical Equipment & Medical Supplies	332B00000X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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DR. John Raymond Carlson, D.M.D.	Dentist - Oral and Maxillofacial Surgery	Middlebury	AI Deep Dive
DR. James Edward Freeman IV, DDS	Dentist - Oral and Maxillofacial Surgery	Colchester	AI Deep Dive
DR. Jeffrey W Glosser, DDS	Dentist - Oral and Maxillofacial Surgery	Berlin	AI Deep Dive
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Organizations

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Northern Vermont Oral & Facial Surgery	Dentist - Oral and Maxillofacial Surgery	Berlin	AI Deep Dive

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