person
Thomas William Connolly, DMD
Oral and Maxillofacial Surgery (Dentist) in South Burlington, Vermont
NPI 1750395166

Thomas William Connolly is a Oral and Maxillofacial Surgery (Dentist) based in South Burlington, VT and is specialized in Oral and Maxillofacial Surgery. Thomas William Connolly practices in South Burlington, VT and has the professional credentials of DMD. The NPI Number for Thomas William Connolly is 1750395166 and holds a License No. 0160000786 (Vermont).

The current practice location address for Thomas William Connolly is 118 Tilley Drive, South Burlington, VT and can be reached out via phone at 802-862-9196 and via fax at 802-862-5769.

Location: 118 Tilley Drive, South Burlington, VT, 05403-7282
person
Provider Profile Details
NPI Number
1750395166
Provider Name
Thomas William Connolly
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
118 Tilley Drive, South Burlington, VT, 05403-7282
Phone Number
802-862-9196
Fax Number
802-862-5769
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2412 01 VT BLUE CROSS
2412 05 VT
97V003 01 VT MVP
institution
Provider Business Practice Location Address Details
Address
118 Tilley Drive
City
State
Zip
05403-7282
Phone Number
802-862-9196
Fax Number
802-862-5769
person
Provider Business Mailing Address Details
Address
118 Tilley Drive
City
State
Zip
05403-7282
Phone Number
802-862-9196
Fax Number
802-862-5769
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
0160000786 (Vermont)
Definition
The specialty of dentistry which includes 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.
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