IndividualActive
Paul Boerman, DDS
NPI 1104830512 · Oral and Maxillofacial Surgery (Dentist) · South Burlington, VT
Provider details
- NPI number
- 1104830512
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 0160000990 (VT)
Specialties & taxonomies
Dental Providers
Practice location
44 Timber Lane
South Burlington, VT 05403-7282
Phone: (802) 860-6725
Fax: (802) 864-1511
Approximate (ZIP-level) locationGet directions
Mailing address
44 Timber Lane
South Burlington, VT 05403-7282
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.