| Green Mountain Oral Surgery Llc | |
|
66 N Main St Rutland VT 05701-3249 | |
| (802) 775-9700 | |
| (802) 775-3237 |
| Full Name | Green Mountain Oral Surgery Llc |
|---|---|
| Speciality | Dentist |
| Location | 66 N Main St, Rutland, Vermont |
| Authorized Official Name and Position | Sherilynn Stofka (ORAL SURGEON) |
| Authorized Official Contact | 8027759700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Mountain Oral Surgery Llc 66 N Main St Rutland VT 05701-3249 Ph: (802) 775-9700 | Green Mountain Oral Surgery Llc 66 N Main St Rutland VT 05701-3249 Ph: (802) 775-9700 |
| NPI Number | 1780886036 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2769521814 |
|---|---|
| Medicare Enrollment ID | O20091202000380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780886036 | NPI | - | NPPES |
| 1006523 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0160002076 (Vermont) | Primary |
| Provider Name | Sherilynn Stofka |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1023193273 PECOS PAC ID: 5092854307 Enrollment ID: I20091130000208 |
Heaton & Fisch Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 N Main St, Rutland, VT 05701 Phone: 802-775-5286 Fax: 802-775-2218 | |
Rutland Family Dental, Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Stratton Rd Ste 2, Rutland, VT 05701 Phone: 802-775-5777 | |
Allen Pond Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Allen St, Suite 301, Rutland, VT 05701 Phone: 802-775-0986 Fax: 802-419-3300 | |
Francis J. D'auria, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Stratton Rd, Rutland, VT 05701 Phone: 802-775-5777 | |
Lynn H. Duboff, Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Allen St, Rutland, VT 05701 Phone: 802-779-6137 | |
Jonathan E Mason Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 General Wing Rd, Rutland, VT 05701 Phone: 802-775-0819 | |
Dick & Duboff Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Stratton Rd, Rutland, VT 05701 Phone: 802-775-6981 Fax: 802-775-1705 |