Organization
NORTHERN VERMONT ORAL & FACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY W GLOSSER DDS (PARTNER)
(802) 223-2364
Entity
Organization
Contact information
Practice address
310 FISHER RD, SUITE 1, BERLIN, VT 05602-9162
(802) 223-2364
(802) 223-9691
Mailing address
310 FISHER RD, SUITE 1, BERLIN, VT 05602-9162
(802) 223-2364
(802) 223-9691
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003048
—
VT
Enumeration date
02/08/2006
Last updated
05/14/2013
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