Organization
VT CENTER FOR DENTAL IMPLANTS AND MAXILLOFACIAL SURGERY LLC
Active
Other names
Dr. Albert S. Hardy
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE DIKE (PRACTICE MANAGER)
(802) 655-5090
Entity
Organization
Contact information
Practice address
792 COLLEGE PKWY STE 307, COLCHESTER, VT 05446-3052
(802) 655-5090
(802) 655-9366
Mailing address
792 COLLEGE PKWY STE 307, COLCHESTER, VT 05446-3052
(802) 655-5090
(802) 655-9366
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
016-0001123
VT
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
061-0001123
VT
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003069
—
VT
Enumeration date
01/24/2008
Last updated
04/25/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us