National Provider Identifier Database

JEDIDIAH L JANISSE DMD AND ASSOCIATES LTD
Oral and Maxillofacial Surgery

The specialty of dentistry which includes 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.


Contact Information

JEDIDIAH L JANISSE DMD AND ASSOCIATES, LTD
217 MAXHAM MEADOW WAY # 10
SUITE 4C
WOODSTOCK, VT05091-1162
Phone: 802-457-1903
Fax: 802-457-3619
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X
Dentist 122300000X

* Indicates primary specialty

NPI Profile & details for JEDIDIAH L JANISSE DMD AND ASSOCIATES, LTD

NPI Number 1083850374
Legal business name
LBN
JEDIDIAH L JANISSE DMD AND ASSOCIATES, LTD
Authorized official JEDIDIAH JANISSE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/17/2008
Last updated 10/11/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • VT License #: 016-0002247

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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