| Northern Vermont Oral & Facial Surgery | |
|
310 Fisher Rd Suite 1 Berlin VT 05602-9162 | |
| (802) 223-2364 | |
| (802) 223-9691 |
| Full Name | Northern Vermont Oral & Facial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 310 Fisher Rd, Berlin, Vermont |
| Authorized Official Name and Position | Jeffrey W Glosser (PARTNER) |
| Authorized Official Contact | 8022232364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Vermont Oral & Facial Surgery 310 Fisher Rd Suite 1 Berlin VT 05602-9162 Ph: (802) 223-2364 | Northern Vermont Oral & Facial Surgery 310 Fisher Rd Suite 1 Berlin VT 05602-9162 Ph: (802) 223-2364 |
| NPI Number | 1710950092 |
|---|---|
| Provider Enumeration Date | 02/08/2006 |
| Last Update Date | 05/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710950092 | NPI | - | NPPES |
| 1003048 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Kwasnik Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 395 Paine Tpke N, Berlin, VT 05602 Phone: 802-229-0561 | |
Collin Kwasnik, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 395 Paine Tpke N, Berlin, VT 05602 Phone: 802-229-0561 |