CONNECTICUT VALLEY ORAL SURGERY ASSOCIATES, PC (NPI# 1912928946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912928946 |
Entity Type | Organization |
Organization Name | CONNECTICUT VALLEY ORAL SURGERY ASSOCIATES, PC |
Practice Address |
368 Canal St Brattleboro VT 05301-6618 |
Mailing Address |
368 Canal St Brattleboro VT 05301 |
Practice Telephone | 8022549418 |
Practice Fax Number | 8022542563 |
Mailing Telephone | 8022549418 |
Mailing Fax Number | 8022542563 |
Enumeration Date | 2006-07-23 |
Last Update Date | 2012-10-17 |
Authorized Official Name | JUNE M GONZALES (ADMINISTRATOR) |
Authorized Official Telephone | 4137742961 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558382572 | Connecticut Valley Oral Surgery Associates, PC | Oral & Maxillofacial Surgery | 243 King St, Suite 101, Northampton, MA 01060-2451 | 2006-07-23 |
1356362370 | Connecticut Valley Oral Surgery Associates, PC | Oral & Maxillofacial Surgery | 100 University Dr, Amherst, MA 01002 | 2006-07-22 |
1285655217 | Connecticut Valley Oral Surgery Associates, PC | Oral & Maxillofacial Surgery | 285 High St, Greenfield, MA 01301-2608 | 2006-07-23 |
Street Address |
368 CANAL ST |
City | BRATTLEBORO |
State | VT |
Zip Code | 05301-6618 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013575372 | Roberta M. White | Psychologist | 72 Whetstone Rd, Brattleboro, VT 05301 | 2019-06-03 |
1225526940 | Audrey Johnston | Nurse Practitioner | Brattleboro Family Medicine, 53 Fairview Street, Brattleboro, VT 05301 | 2018-04-27 |
1811349582 | Jillian Barney | Physician Assistant | 17 Belmont Ave Richards Building (1st Floor), Barttleboro, VT 05301 | 2016-07-06 |
1326413899 | Gabriella Neacsu Katz | Nurse Practitioner | 1860 Weatherhead Hollow Rd, Guilford, VT 05301 | 2015-12-09 |
1942608914 | Kathryn Peterson | Registered Nurse | 105 Winter St Apt 2, Brattleboro, VT 05301 | 2014-12-08 |
1558762823 | Saryn T Lauzon | Registered Nurse | 2 Maplewood Drive, Brattleboro, VT 05301 | 2014-09-05 |
1912248691 | Robert Joseph Stack | Counselor | 1 Linden Street, Brattleboro, VT 05301 | 2013-03-06 |
1053651760 | Christopher M. Deszynski | Naturopath | 73 Main St Ste 4, Brattleboro, VT 05301 | 2013-02-18 |
1518236355 | Christine Hamrin | Licensed Practical Nurse | 54 Spruce Street, Brattleboro, VT 05301 | 2011-12-23 |
1881924934 | Margrit C. Mikulis | Naturopath | 147 Orchard St, Brattleboro, VT 05301 | 2010-01-12 |
Find all providers in zip 05301 |
Taxonomy Code | 204E00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Oral & Maxillofacial Surgery |
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
City | BRATTLEBORO |
Zip Code | 05301 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.