Individual
DR. THOMAS E. MACKSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
130 UNION ST, BENNINGTON, VT 05201-2405
(802) 447-7682
(802) 447-0630
Mailing address
PO BOX 29, BENNINGTON, VT 05201-0029
(802) 447-7682
(802) 447-0630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016-0000697
VT
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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