CONNECTICUT VALLEY ORAL SURGERY ASSOCIATES, PC
NPI 1912928946
Oral & Maxillofacial Surgery in Brattleboro, VT

Q: What is Connecticut Valley Oral Surgery Associates, PC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Active since July 23, 2006

368 CANAL ST, BRATTLEBORO, VT 05301(802) 254-9418(802) 254-2563 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Connecticut Valley Oral Surgery Associates, Pc NPPES

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

CONNECTICUT VALLEY ORAL SURGERY ASSOCIATES, PC (NPI 1912928946) is a healthcare organization registered as an oral & maxillofacial surgery in Brattleboro, Vermont and active in the NPI registry since July 2006. The organization lists Candy Ebbighausen, Administrator, as its authorized official.

NPPES Registry Identity

NPI1912928946

Entity TypeOrganization

Primary Taxonomy204E00000X

Legal Business NameCONNECTICUT VALLEY ORAL SURGERY ASSOCIATES, PC

Location Address368 CANAL STBrattleboro, VT 05301-6618

Mailing Address368 Canal StBrattleboro, VT 05301 · (802) 254-9418 · Fax (802) 254-2563

Phone(802) 254-9418

Fax(802) 254-2563

Organization SubpartNo

Authorized OfficialCandy EbbighausenAdministrator · (603) 357-3709

Enumeration DateJuly 23, 2006

Last NPPES UpdateDecember 15, 2022

NPPES CertifiedDecember 15, 2022

✔ NPI 1912928946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

368 CANAL ST, Brattleboro, VT 05301

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connecticut Valley Oral Surgery Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Connecticut Valley Oral Surgery Associates, PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Christopher Blount, DDS

Maxillofacial Surgery

NPI 1710964028

285 HIGH ST
Greenfield, MA 01301

(413) 774-2961

✔ PECOS✔ Accepts Medicare17 mi

Patrick Edmunds, DMD

Maxillofacial Surgery

NPI 1053330258

285 HIGH STREET
Greenfield, MA 01301

(413) 774-2961

✔ PECOS✔ Accepts Medicare17 mi

Michael Spink, DDS, MD

Oral Surgery

NPI 1275744310

285 HIGH ST
Greenfield, MA 01301

(603) 357-3709

✔ PECOS✔ Accepts Medicare17 mi

Nicholas Theberge, DDS

Oral Surgery

NPI 1346580974

285 HIGH ST
Greenfield, MA 01301

(413) 774-2961

✔ PECOS17 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Connecticut Valley Oral Surgery Associates, PC's NPI number?

The NPI number for Connecticut Valley Oral Surgery Associates, PC is 1912928946. It was assigned to this organization in the NPPES registry on July 23, 2006.

Where is Connecticut Valley Oral Surgery Associates, PC located?

Connecticut Valley Oral Surgery Associates, PC is located at 368 Canal St, Brattleboro, VT 05301. The listed phone number is (802) 254-9418.

What is Connecticut Valley Oral Surgery Associates, PC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Connecticut Valley Oral Surgery Associates, PC enrolled in Medicare?

Yes. Connecticut Valley Oral Surgery Associates, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Connecticut Valley Oral Surgery Associates, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Connecticut Valley Oral Surgery Associates, PC, in Maxillofacial Surgery and Oral Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Connecticut Valley Oral Surgery Associates, PC was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.