VT CENTER FOR DENTAL IMPLANTS AND MAXILLOFACIAL SURGERY LLC
NPI 1104465657
Dentist - Oral and Maxillofacial Surgery in Stowe, VT

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

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since January 02, 2020

1009 S MAIN ST STE 1, STOWE, VT 05672(802) 253-2761(802) 655-9366 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2024, Jan 2, 2020 (2 updates tracked since 2020).

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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 1104465657) is a healthcare organization registered as an oral and maxillofacial surgery in Stowe, Vermont and active in the NPI registry since January 2020. The organization lists Karen Deslauriers, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1104465657

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameVT CENTER FOR DENTAL IMPLANTS AND MAXILLOFACIAL SURGERY LLC

Location Address1009 S MAIN ST STE 1Stowe, VT 05672-5275

Mailing Address792 College Pkwy Ste 307Colchester, VT 05446-3052 · (802) 655-5090 · Fax (800) 524-4660

Phone(802) 253-2761

Fax(802) 655-9366

Organization SubpartNo

Authorized OfficialKaren DeslauriersBilling Manager · (802) 655-5090

Enumeration DateJanuary 2, 2020

Last NPPES UpdateApril 9, 20242 updates tracked since enumeration

NPPES CertifiedApril 9, 2024

✔ NPI 1104465657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist 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 ListedClinic/Center · Oral and Maxillofacial SurgeryTaxonomy 261QS0112X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

1009 S MAIN ST STE 1, Stowe, VT 05672

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 1104465657. It was assigned to this organization in the NPPES registry on January 2, 2020.

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

Vt Center For Dental Implants And Maxillofacial Surgery LLC is located at 1009 S Main St Ste 1, Stowe, VT 05672. The listed phone number is (802) 253-2761.

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

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

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 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.