NPI 1912928946

Connecticut Valley Oral Surgery Associates, PC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Brattleboro, VT

Practice location

Address: 368 Canal St, Brattleboro, VT 05301-6618
Phone: (802) 254-9418
Fax: (802) 254-2563
Mailing address: 368 Canal St, Brattleboro, VT 05301

Authorised official

Name: Candy Ebbighausen
Title: Administrator
Phone: (603) 357-3709

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Vermont →

Registry record

NPI: 1912928946
Entity type: Organization
NPI issued: 23 Jul 2006
Record last updated: 15 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.