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JEDIDIAH L JANISSE DMD AND ASSOCIATES, LTD
NPI 1083850374
Clinic/Center - Oral and Maxillofacial Surgery in Woodstock, VT

Active since December 17, 2008
217 MAXHAM MEADOW WAY # 10, SUITE 4C, WOODSTOCK, VT 05091(802) 457-1903(802) 457-3619 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jedidiah L Janisse Dmd And Associates, Ltd NPPES

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

JEDIDIAH L JANISSE DMD AND ASSOCIATES, LTD (NPI 1083850374) is a healthcare organization registered as an oral and maxillofacial surgery in Woodstock, Vermont and active in the NPI registry since December 2008. The organization lists Jedidiah L Janisse, President, as its authorized official.

NPPES Registry Identity

NPI1083850374
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameJEDIDIAH L JANISSE DMD AND ASSOCIATES, LTD
Location Address217 MAXHAM MEADOW WAY # 10, SUITE 4CWoodstock, VT 05091-1162
Mailing Address217 Maxham Meadow Way # 10, Suite 4cWoodstock, VT 05091-1162 · (802) 457-1903 · Fax (802) 457-3619
Phone(802) 457-1903
Fax(802) 457-3619
Organization SubpartNo
Authorized OfficialJedidiah L JanissePresident · (802) 457-1903
Enumeration DateDecember 17, 2008
Last NPPES UpdateOctober 11, 2019
✔ NPI 1083850374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
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 ListedDentistTaxonomy 122300000X · License 016-0002247 (VT)
217 MAXHAM MEADOW WAY # 10, Woodstock, VT 05091
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARGARET NASSYM JANISSE DMD
Dentist (General Practice)
217 MAXHAM MEADOW WAY # 10, SUITE 104C
WOODSTOCK, VT 05091
Windsor County (802) 457-1903

Frequently Asked Questions

What is JEDIDIAH L JANISSE DMD AND ASSOCIATES, LTD's NPI number?

The NPI number assigned to this healthcare provider is 1083850374, enumerated as an "organization" on December 17, 2008.

Where is the provider located?

The provider is located at 217 MAXHAM MEADOW WAY # 10 SUITE 4C WOODSTOCK, VT 05091 and the phone number is (802) 457-1903.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QS0112X and a focus in Oral and Maxillofacial Surgery.