OrganizationActive
Jedidiah L Janisse DMD and Associates, Ltd
NPI 1083850374 · Oral and Maxillofacial Surgery Clinic/Center · Woodstock, VT
Provider details
- NPI number
- 1083850374
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jedidiah Janisse, President(802) 457-1903
- License
- 016-0002247 (VT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Dental Providers
Practice location
217 Maxham Meadow Way # 10
Suite 4c
Woodstock, VT 05091-1162
Phone: (802) 457-1903
Fax: (802) 457-3619
Approximate (ZIP-level) locationGet directions
Mailing address
217 Maxham Meadow Way # 10
Woodstock, VT 05091-1162
Registry dates
- Enumerated
- 2008-12-17
- Last updated
- 2019-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.