OrganizationActive
Vt Center for Dental Implants and Maxillofacial Surgery LLC
NPI 1063699767 · Oral and Maxillofacial Surgery Clinic/Center · Colchester, VT
Provider details
- NPI number
- 1063699767
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Dike, Practice Manager(802) 655-5090
- License
- 016-0001123 (VT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Dental Providers
Suppliers
Practice location
792 College Pkwy Ste 307
Colchester, VT 05446-3052
Phone: (802) 655-5090
Fax: (802) 655-9366
Approximate (ZIP-level) locationGet directions
Mailing address
792 College Pkwy Ste 307
Colchester, VT 05446-3052
Other names (DBA / former)
- Former legal business name
- Dr. Albert S. Hardy
- Former legal business name
- Dr. Albert S. Hardy
Registry dates
- Enumerated
- 2008-01-24
- Last updated
- 2024-04-25
- Certified
- 2024-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.