| Oral Surgery Associates | |
|
2 Harwood Dr Bennington VT 05201-2323 | |
| (802) 447-7073 | |
| (802) 442-2725 |
| Full Name | Oral Surgery Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 2 Harwood Dr, Bennington, Vermont |
| Authorized Official Name and Position | David Rothschild (DR OWNER) |
| Authorized Official Contact | 4136644100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Associates 2 Harwood Dr Bennington VT 05201-2323 Ph: (802) 447-7073 | Oral Surgery Associates 2 Harwood Dr Bennington VT 05201-2323 Ph: (802) 447-7073 |
| NPI Number | 1932363041 |
|---|---|
| Provider Enumeration Date | 07/17/2008 |
| Last Update Date | 08/16/2012 |
| Medicare PECOS PAC ID | 6002805520 |
|---|---|
| Medicare Enrollment ID | O20040510001314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932363041 | NPI | - | NPPES |
| 9721533 | Medicaid | MA | |
| 1008284 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Eric P Holmgren |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1619083565 PECOS PAC ID: 5890898571 Enrollment ID: I20070402000333 |
| Provider Name | Christopher R Bevin |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1144298910 PECOS PAC ID: 4082687330 Enrollment ID: I20071101000061 |
| Provider Name | Lance Aron Smagalski |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1295702298 PECOS PAC ID: 4486796471 Enrollment ID: I20100208000065 |
| Provider Name | David L Rothschild |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1548221211 PECOS PAC ID: 8527057041 Enrollment ID: I20120824000457 |
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Mt Anthony Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 655 Main St, Bennington, VT 05201 Phone: 802-447-2343 Fax: 802-442-4636 | |
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