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Paul Albert Danielson, DMD
Oral and Maxillofacial Surgery (Dentist) in South Burlington, Vermont
NPI 1982628657

Paul Albert Danielson is a Oral and Maxillofacial Surgery (Dentist) based in South Burlington, VT and is specialized in Oral and Maxillofacial Surgery. Paul Albert Danielson practices in South Burlington, VT and has the professional credentials of DMD. The NPI Number for Paul Albert Danielson is 1982628657 and holds a License No. 0160000524 (Vermont).

The current practice location address for Paul Albert Danielson 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
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Provider Profile Details
NPI Number
1982628657
Provider Name
Paul Albert Danielson
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
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2377 01 VT BCBS
2377 05 VT
102V103 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.
0160000524 (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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