| Jedidiah L Janisse Dmd And Associates, Ltd | |
|
217 Maxham Meadow Way # 10 Suite 4c Woodstock VT 05091-1162 | |
| (802) 457-1903 | |
| (802) 457-3619 |
| Full Name | Jedidiah L Janisse Dmd And Associates, Ltd |
|---|---|
| Speciality | Clinic/center - Oral And Maxillofacial Surgery |
| Location | 217 Maxham Meadow Way # 10, Woodstock, Vermont |
| Authorized Official Name and Position | Jedidiah L Janisse (PRESIDENT) |
| Authorized Official Contact | 8024571903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jedidiah L Janisse Dmd And Associates, Ltd 217 Maxham Meadow Way # 10 Suite 4c Woodstock VT 05091-1162 Ph: (802) 457-1903 | Jedidiah L Janisse Dmd And Associates, Ltd 217 Maxham Meadow Way # 10 Suite 4c Woodstock VT 05091-1162 Ph: (802) 457-1903 |
| NPI Number | 1083850374 |
|---|---|
| Provider Enumeration Date | 12/17/2008 |
| Last Update Date | 10/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083850374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 016-0002247 (Vermont) | Secondary |
| 261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Woodstock Dental Group Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 217-10 Maxham Meadow Way, Woodstock, VT 05091 Phone: 781-562-3442 | |
Mark D Knott, Dds, Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Pleasant St, Woodstock, VT 05091 Phone: 802-457-2922 Fax: 802-457-1835 |