Active NPIIndividual provider

Paul G Boerman, DDS

Dentist, Oral and Maxillofacial Surgery in South Burlington, Vermont

NPI Number1104830512
Practice location
44 Timber Lane, South Burlington, VT 05403-7282
Fax
802-864-1511
Last updated
July 8, 2007

Paul Gregory Boerman is a Dentist, Oral and Maxillofacial Surgery based in South Burlington, VT. Paul Gregory Boerman practices in South Burlington, VT and has the professional credentials of DDS. The NPI Number for Paul Gregory Boerman is 1104830512 and holds a License No. 0160000990 (VT). The current practice location address for Paul Gregory Boerman is 44 Timber Lane, South Burlington, VT 05403-7282 and can be reached out via phone at 802-860-6725 and via fax at 802-864-1511.

Provider Profile Details

NPI Number
1104830512
Provider Name
Paul Gregory Boerman
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
44 Timber Lane, South Burlington, VT 05403-7282
Phone Number
802-860-6725
Fax Number
802-864-1511
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
No
Provider Enumeration Date
July 28, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
44 Timber Lane
South Burlington, VT 05403-7282
State
Vermont
Zip
05403-7282
Phone Number
802-860-6725
Fax Number
802-864-1511
South Burlington, VT 05403Get directions →

Provider Business Mailing Address Details

Address
44 Timber Lane
South Burlington, VT 05403-7282
City
South Burlington
State
VT
Zip
05403-7282
Phone Number
802-860-6725
Fax Number
802-864-1511

License Information

License Number
0160000990
License State
VT
Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Paul G Boerman, DDS?

The NPI number of Paul G Boerman, DDS is 1104830512. It was assigned on July 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Paul G Boerman, DDS?

Paul G Boerman, DDS is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in VT under license number 0160000990.

Where does Paul G Boerman, DDS practice?

The practice location is 44 Timber Lane, South Burlington, VT 05403-7282. The office can be reached at 802-860-6725 (phone) or 802-864-1511 (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 1104830512 directly on the NPPES registry website.

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