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Organization
VERMONT ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES
Active
Organization
VERMONT ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS WILLIAM CONNOLLY DMD (PARTNER)
(802) 860-6725
Entity
Organization
Contact information
Practice address
44 TIMBER LANE, SOUTH BRIGHTON, VT 05403-7282
(802) 860-6725
(802) 864-1511
Mailing address
44 TIMBER LANE, SOUTH BRIGHTON, VT 05403-7282
(802) 860-6725
(802) 864-1511
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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