Whalio Doctors

NPI 1184609018

Edward Vanisky, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Burlington, MA

Practice location

Address
77 S Bedford St Suite 100, Burlington, MA 01803-5115
Phone
(781) 272-0800
Mailing address
77 S Bedford St STE 100, Burlington, MA 01803-5154

Registered specialties (3)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DN22199 (MA)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence DS030512L (PA)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence DN22199 (MA)

Registry record

NPI
1184609018
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Dec 2005
Record last updated
9 May 2019

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.