| New England Oral Surgery Pc | |
|
14 N Main St Suite 4001 Barre VT 05641-4197 | |
| (802) 622-0323 | |
| Not Available |
| Full Name | New England Oral Surgery Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 14 N Main St, Barre, Vermont |
| Authorized Official Name and Position | Patricia Melvin (PRACTICE MANAGER) |
| Authorized Official Contact | 8026220678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New England Oral Surgery Pc 14 N Main St Suite 4001 Barre VT 05641-4197 Ph: (802) 622-0323 | New England Oral Surgery Pc 14 N Main St Suite 4001 Barre VT 05641-4197 Ph: (802) 622-0323 |
| NPI Number | 1235572918 |
|---|---|
| Provider Enumeration Date | 04/11/2013 |
| Last Update Date | 02/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235572918 | NPI | - | NPPES |
| 0034668 | Other | MEDICARE PTAN | |
| 1022121 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 016.0002059 (Vermont) | Primary |
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