Vt Center For Dental Implants And Maxillofacial Surgery Llc
Oral and Maxillofacial Dental Clinic
792 College Pkwy Ste 307, Colchester
Vermont, 05446-3052
802-655-5090 802-655-9366
Maps & DirectionsVt Center For Dental Implants And Maxillofacial Surgery Llc is a Oral and Maxillofacial Dental Clinic in Colchester, Vermont. It is located at 792 College Pkwy Ste 307, Colchester, VT and its contact number is 802-655-5090. The authorized person for Vt Center For Dental Implants And Maxillofacial Surgery Llc is Lisa Marie Dike
who is Practice Manager of the clinic and their contact number is 802-655-5090. The primary license number for Vt Center For Dental Implants And Maxillofacial Surgery Llc is 061-0001123 (Oral and Maxillofacial Surgery) in Vermont.
Vt Center For Dental Implants And Maxillofacial Surgery Llc Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Vt Center For Dental Implants And Maxillofacial Surgery Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Vt Center For Dental Implants And Maxillofacial Surgery Llc |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 792 College Pkwy Ste 307, Colchester,
Vermont, 05446-3052 |
| Phone: | 802-655-5090 |
| Fax: | 802-655-9366 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Lisa Marie Dike |
| Position: | Practice Manager |
| Contact Number: | 802-655-5090 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Vt Center For Dental Implants And Maxillofacial Surgery Llc clinic are as mentioned below.
| NPI Number: | 1063699767 |
| NPI Enumeration Date: | 24 Jan, 2008 |
| NPI Last Update On: | 25 Apr, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vt Center For Dental Implants And Maxillofacial Surgery Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 061-0001123 | Vermont | Primary | |
| Oral and Maxillofacial Surgery | 016-0001123 | Vermont | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1003069 | Medicaid | Vermont | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Vt Center For Dental Implants And Maxillofacial Surgery Llc
792 College Pkwy Ste 307,
Colchester, Vermont |
| Zip: | 05446-3052 |
| Phone Number: | 802-655-5090 |
| Fax Number: | 802-655-9366 |
Patients can reach Vt Center For Dental Implants And Maxillofacial Surgery Llc at
792 College Pkwy Ste 307, Colchester, Vermont or can
call to book an appointment on 802-655-5090.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.