Active NPIOrganization

Green Mountain Oral Surgery LLC

Dentist, Oral and Maxillofacial Surgery in Rutland, Vermont

NPI Number1780886036
Practice location
66 N Main St, Rutland, VT 05701-3249
Fax
802-775-3237
Last updated
August 22, 2020

Green Mountain Oral Surgery LLC is a healthcare organization based in Rutland, VT. Green Mountain Oral Surgery LLC practices in Rutland, VT. The NPI Number for Green Mountain Oral Surgery LLC is 1780886036 and holds a License No. 0160002076 (VT). The current practice location address for Green Mountain Oral Surgery LLC is 66 N Main St, Rutland, VT 05701-3249 and can be reached out via phone at 802-775-9700 and via fax at 802-775-3237.

Provider Profile Details

NPI Number
1780886036
Provider Name
Green Mountain Oral Surgery LLC
Provider Entity Type
Organization
Address
66 N Main St, Rutland, VT 05701-3249
Phone Number
802-775-9700
Fax Number
802-775-3237
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Organization Subpart
No
Authorized Official
Dr. Sherilynn Stofka, DDS · Oral Surgeon · 802-775-9700
Provider Enumeration Date
May 31, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
66 N Main St
Rutland, VT 05701-3249
State
Vermont
Zip
05701-3249
Phone Number
802-775-9700
Fax Number
802-775-3237
Rutland, VT 05701Get directions →

Provider Business Mailing Address Details

Address
66 N Main St
Rutland, VT 05701-3249
City
Rutland
State
VT
Zip
05701-3249
Phone Number
802-775-9700
Fax Number
802-775-3237

License Information

License Number
0160002076
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 Green Mountain Oral Surgery LLC?

The NPI number of Green Mountain Oral Surgery LLC is 1780886036. It was assigned on May 31, 2007 and is currently active in the NPPES registry.

What is the specialty of Green Mountain Oral Surgery LLC?

Green Mountain Oral Surgery LLC is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in VT under license number 0160002076.

Where does Green Mountain Oral Surgery LLC practice?

The practice location is 66 N Main St, Rutland, VT 05701-3249. The office can be reached at 802-775-9700 (phone) or 802-775-3237 (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 1780886036 directly on the NPPES registry website.

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