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VT CENTER FOR DENTAL IMPLANTS AND MAXILLOFACIAL SURGERY LLC
NPI 1063699767
Clinic/Center - Oral and Maxillofacial Surgery in Colchester, VT

Active since January 24, 2008
792 COLLEGE PKWY STE 307, COLCHESTER, VT 05446(802) 655-5090(802) 655-9366 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2024, Apr 12, 2024, Jan 2, 2020 (3 updates tracked since 2020).

About Vt Center For Dental Implants And Maxillofacial Surgery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VT CENTER FOR DENTAL IMPLANTS AND MAXILLOFACIAL SURGERY LLC (NPI 1063699767), doing business as Dr. Albert S. Hardy, is a healthcare organization registered as an oral and maxillofacial surgery in Colchester, Vermont and active in the NPI registry since January 2008. The organization lists Lisa Marie Dike, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1063699767
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameVT CENTER FOR DENTAL IMPLANTS AND MAXILLOFACIAL SURGERY LLC
Location Address792 COLLEGE PKWY STE 307Colchester, VT 05446-3052
Mailing Address792 College Pkwy Ste 307Colchester, VT 05446-3052 · (802) 655-5090 · Fax (802) 655-9366
Phone(802) 655-5090
Fax(802) 655-9366
Organization SubpartNo
Authorized OfficialLisa Marie DikePractice Manager · (802) 655-5090
Enumeration DateJanuary 24, 2008
Last NPPES UpdateApril 25, 20243 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
✔ NPI 1063699767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
License✔ Licensed in VT · 061-0001123
Definition

An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 016-0001123 (VT)
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
792 COLLEGE PKWY STE 307, Colchester, VT 05446
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Other Names 1

Former Legal Business NameDr. Albert S. Hardy

Other Identifiers 1

Medicaid1003069VT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vt Center For Dental Implants And Maxillofacial Surgery LLC's NPI number?

The NPI number for Vt Center For Dental Implants And Maxillofacial Surgery LLC is 1063699767. It was assigned to this organization in the NPPES registry on January 24, 2008. The provider was formerly known as Dr. Albert S. Hardy.

Where is Vt Center For Dental Implants And Maxillofacial Surgery LLC located?

Vt Center For Dental Implants And Maxillofacial Surgery LLC is located at 792 College Pkwy Ste 307, Colchester, VT 05446. The listed phone number is (802) 655-5090.

What is Vt Center For Dental Implants And Maxillofacial Surgery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

What insurance does Vt Center For Dental Implants And Maxillofacial Surgery LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Vt Center For Dental Implants And Maxillofacial Surgery LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vt Center For Dental Implants And Maxillofacial Surgery LLC was last updated on April 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.