Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vt Center for Dental Implants and Maxillofacial Surgery LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1063699767

Vt Center for Dental Implants and Maxillofacial Surgery LLC is an Oral and Maxillofacial Surgery (Dentist) in Colchester, Vermont. Licensed in Vermont. Registered with an NPI since 2008.

Licensed in
VT
In the registry since
2008
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

792 College Pkwy Ste 307
Colchester, VT 05446-3052
Phone: (802) 655-5090
Fax: (802) 655-9366
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X · Licence 061-0001123 (VT)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 016-0001123 (VT)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1063699767
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Dike — Practice Manager · (802) 655-5090
Other names Dr. Albert S. Hardy; Dr. Albert S. Hardy
NPI enumeratedJanuary 24, 2008
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024
Mailing address792 College Pkwy Ste 307, Colchester, VT 05446-3052

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