Organization
JEDIDIAH L JANISSE DMD AND ASSOCIATES, LTD
Active
Organization
JEDIDIAH L JANISSE DMD AND ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEDIDIAH L JANISSE DMD (PRESIDENT)
(802) 457-1903
Entity
Organization
Contact information
Practice address
217 MAXHAM MEADOW WAY # 10, SUITE 4C, WOODSTOCK, VT 05091-1162
(802) 457-1903
(802) 457-3619
Mailing address
217 MAXHAM MEADOW WAY # 10, SUITE 4C, WOODSTOCK, VT 05091-1162
(802) 457-1903
(802) 457-3619
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
016-0002247
VT
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2008
Last updated
10/11/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up