NPI 1104830512

Paul Gregory Boerman, DDS

Practitioner Oral and Maxillofacial Surgery (Dentist) South Burlington, VT

Practice location

Address: 44 Timber Lane, South Burlington, VT 05403-7282
Phone: (802) 860-6725
Fax: (802) 864-1511

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence 0160000990 (VT)

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Registry record

NPI: 1104830512
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2006
Record last updated: 8 Jul 2007

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.