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

Edward Vanisky, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1184609018

Edward Vanisky, DMD is an Oral Surgery in Burlington, Massachusetts. Graduated from Temple University School of Medicine in 1997, 29 years ago. Practices with Burlington Oral and Facial Surgery Center LLC, a 3-clinician group. Licensed in Massachusetts and Pennsylvania.

Years since qualifying
29
Trained at
Temple University School of Medicine
Licensed in
MA, PA
In the registry since
2005
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

77 S Bedford St Ste 100
Burlington, MA 01803-5115
Phone: (781) 272-0800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence DN22199 (MA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DS030512L (PA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DN22199 (MA)

Record details

NPI number1184609018
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedDecember 14, 2005
Last updated in NPPESMay 9, 2019
Mailing address77 S Bedford St Ste 100, Burlington, MA 01803-5154

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Burlington Oral And Facial Surgery Center Llc — 3 clinicians
Accepts Medicare assignment Not indicated

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