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 1104465657

Vt Center for Dental Implants and Maxillofacial Surgery LLC is an Oral and Maxillofacial Surgery (Dentist) in Stowe, Vermont. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1009 S Main St Ste 1
Stowe, VT 05672-5275
Phone: (802) 253-2761
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 (Dentist) (primary) Taxonomy 1223S0112X
Oral and Maxillofacial Surgery Clinic/Center Taxonomy 261QS0112X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1104465657
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Deslauriers — Billing Manager · (802) 655-5090
NPI enumeratedJanuary 2, 2020
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024
Mailing address792 College Pkwy Ste 307, Colchester, VT 05446-3052