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GREEN MOUNTAIN ORAL SURGERY LLC
NPI 1780886036
Dentist - Oral and Maxillofacial Surgery in Rutland, VT

Active since May 31, 2007
66 N MAIN ST, RUTLAND, VT 05701(802) 775-9700(802) 775-3237 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Green Mountain Oral Surgery Llc NPPES

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

GREEN MOUNTAIN ORAL SURGERY LLC (NPI 1780886036) is a healthcare organization registered as an oral and maxillofacial surgery in Rutland, Vermont and active in the NPI registry since May 2007. The organization lists Sherilynn Stofka, Oral Surgeon, as its authorized official.

NPPES Registry Identity

NPI1780886036
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameGREEN MOUNTAIN ORAL SURGERY LLC
Location Address66 N MAIN STRutland, VT 05701-3249
Mailing Address66 N Main StRutland, VT 05701-3249 · (802) 775-9700 · Fax (802) 775-3237
Phone(802) 775-9700
Fax(802) 775-3237
Organization SubpartNo
Authorized OfficialSherilynn StofkaOral Surgeon · (802) 775-9700
Enumeration DateMay 31, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1780886036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in VT · 0160002076
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.
66 N MAIN ST, Rutland, VT 05701
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Other Identifiers 1

Medicaid1006523VT

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.

MS. SHERILYNN STOFKA DDS
Dentist (Oral and Maxillofacial Surgery)
66 N MAIN ST
RUTLAND, VT 05701
Rutland County (802) 775-9700

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 Green Mountain Oral Surgery LLC's NPI number?

The NPI number for Green Mountain Oral Surgery LLC is 1780886036. It was assigned to this organization in the NPPES registry on May 31, 2007.

Where is Green Mountain Oral Surgery LLC located?

Green Mountain Oral Surgery LLC is located at 66 N Main St, Rutland, VT 05701. The listed phone number is (802) 775-9700.

What is Green Mountain Oral 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 Green Mountain Oral Surgery LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.