| Vt Center For Dental Implants And Maxillofacial Surgery Llc | |
|
792 College Pkwy Ste 307 Colchester VT 05446-3052 | |
| (802) 655-5090 | |
| (802) 655-9366 |
| Full Name | Vt Center For Dental Implants And Maxillofacial Surgery Llc |
|---|---|
| Speciality | Clinic/center - Oral And Maxillofacial Surgery |
| Location | 792 College Pkwy Ste 307, Colchester, Vermont |
| Authorized Official Name and Position | Lisa Marie Dike (PRACTICE MANAGER) |
| Authorized Official Contact | 8026555090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vt Center For Dental Implants And Maxillofacial Surgery Llc 792 College Pkwy Ste 307 Colchester VT 05446-3052 Ph: (802) 655-5090 | Vt Center For Dental Implants And Maxillofacial Surgery Llc 792 College Pkwy Ste 307 Colchester VT 05446-3052 Ph: (802) 655-5090 |
| NPI Number | 1063699767 |
|---|---|
| Provider Enumeration Date | 01/24/2008 |
| Last Update Date | 04/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063699767 | NPI | - | NPPES |
| 1003069 | Medicaid | VT |
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