| Vermont Oral And Maxillofacial Surgery Associates | |
|
44 Timber Lane South Brighton VT 05403-7282 | |
| (802) 860-6725 | |
| (802) 864-1511 |
| Full Name | Vermont Oral And Maxillofacial Surgery Associates |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 44 Timber Lane, South Brighton, Vermont |
| Authorized Official Name and Position | Thomas William Connolly (PARTNER) |
| Authorized Official Contact | 8028606725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vermont Oral And Maxillofacial Surgery Associates 44 Timber Lane South Brighton VT 05403-7282 Ph: (802) 860-6725 | Vermont Oral And Maxillofacial Surgery Associates 44 Timber Lane South Brighton VT 05403-7282 Ph: (802) 860-6725 |
| NPI Number | 1700800471 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700800471 | NPI | - | NPPES |
| 0001515 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |