- Practice location
- 217 Maxham Meadow Way # 10, Suite 4C, Woodstock, VT 05091-1162
- Phone
- 802-457-1903
- Fax
- 802-457-3619
- Last updated
- October 11, 2019
Jedidiah L Janisse DMD And Associates, LTD is a healthcare organization based in Woodstock, VT. Jedidiah L Janisse DMD And Associates, LTD practices in Woodstock, VT. The NPI Number for Jedidiah L Janisse DMD And Associates, LTD is 1083850374 and holds a License No. 016-0002247 (VT). The current practice location address for Jedidiah L Janisse DMD And Associates, LTD is 217 Maxham Meadow Way # 10, Suite 4C, Woodstock, VT 05091-1162 and can be reached out via phone at 802-457-1903 and via fax at 802-457-3619.
Provider Profile Details
- NPI Number
- 1083850374
- Provider Name
- Jedidiah L Janisse DMD And Associates, LTD
- Provider Entity Type
- Organization
- Address
- 217 Maxham Meadow Way # 10, Suite 4C, Woodstock, VT 05091-1162
- Phone Number
- 802-457-1903
- Fax Number
- 802-457-3619
- Primary Taxonomy
- Clinic/Center, Oral and Maxillofacial Surgery · 261QS0112X
- Organization Subpart
- No
- Authorized Official
- Dr. Jedidiah L Janisse, DMD · President · 802-457-1903
- Provider Enumeration Date
- December 17, 2008
- Last Update Date
- October 11, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 217 Maxham Meadow Way # 10
Suite 4C
Woodstock, VT 05091-1162 - City
- Woodstock
- State
- Vermont
- Zip
- 05091-1162
- Phone Number
- 802-457-1903
- Fax Number
- 802-457-3619
Provider Business Mailing Address Details
- Address
- 217 Maxham Meadow Way # 10
Suite 4C
Woodstock, VT 05091-1162 - City
- Woodstock
- State
- VT
- Zip
- 05091-1162
- Phone Number
- 802-457-1903
- Fax Number
- 802-457-3619
License Information
- License Number (1)
- 016-0002247
- License State (1)
- VT
- Taxonomy (1)
- Dentist · 122300000X
- Taxonomy (2)
- Clinic/Center, Oral and Maxillofacial Surgery · 261QS0112X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jedidiah L Janisse DMD And Associates, LTD?
The NPI number of Jedidiah L Janisse DMD And Associates, LTD is 1083850374. It was assigned on December 17, 2008 and is currently active in the NPPES registry.
What is the specialty of Jedidiah L Janisse DMD And Associates, LTD?
Jedidiah L Janisse DMD And Associates, LTD is registered under the primary taxonomy Clinic/Center, Oral and Maxillofacial Surgery (code 261QS0112X), licensed in VT under license number 016-0002247.
Where does Jedidiah L Janisse DMD And Associates, LTD practice?
The practice location is 217 Maxham Meadow Way # 10, Suite 4C, Woodstock, VT 05091-1162. The office can be reached at 802-457-1903 (phone) or 802-457-3619 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083850374 directly on the NPPES registry website.