IndividualActive
Paul Danielson, DMD
NPI 1982628657 · Oral and Maxillofacial Surgery (Dentist) · South Burlington, VT
Provider details
- NPI number
- 1982628657
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 0160000524 (VT)
Specialties & taxonomies
Dental Providers
Practice location
118 Tilley Drive
Suite 102
South Burlington, VT 05403-7282
Phone: (802) 862-9196
Fax: (802) 862-5769
Approximate (ZIP-level) locationGet directions
Mailing address
118 Tilley Drive
South Burlington, VT 05403-7282
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2007-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.