Thomas William Connolly in South Burlington - Oral And Maxillofacial Surgery

Thomas William Connolly - NPI 1750395166

Thomas William Connolly is a Oral And Maxillofacial Surgery in South Burlington, Vermont. Thomas William Connolly practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Thomas William Connolly is 1750395166. The last update date is 2007-10-17.

Thomas William Connolly's current location address is 118 Tilley Drive, South Burlington, Vermont. You can contact this provider via phone number 8028629196 and fax number 8028625769. The mailing address for Thomas William Connolly is 118 Tilley Drive, South Burlington, Vermont. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas William Connolly
Address 118 Tilley Drive, South Burlington, Vermont
Phone Number 8028629196
Fax Number 8028625769
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1750395166
Provider Enumeration Date 2006-07-28
Last Updated Date 2007-10-17

Provider Mailing Address Detail

Address 118 Tilley Drive
City South Burlington
State Vermont (VT)
Post Code 54037282
Phone Number 8028629196
Fax Number 8028625769

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 160000786
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2412 VT BLUE CROSS
2412 VT --
97V003 VT MVP

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FAQs about Thomas William Connolly

What is the unique identifier code issued to Thomas William Connolly by the Centers for Medicare & Medicaid Services?

The Thomas William Connolly has been assigned the NPI (National Provider Identifier) 1750395166. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Thomas William Connolly's facilities are situated?

The facilities of Thomas William Connolly are physically located at the following address: 118 Tilley Drive, South Burlington, VT, 54037282.

What is Thomas William Connolly's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Thomas William Connolly is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.

On what date did the Centers for Medicare & Medicaid Services assign the 1750395166 to Thomas William Connolly?

The Centers for Medicare & Medicaid Services assigned the 1750395166 to Thomas William Connolly on 2006-07-28.

When was the information related to Thomas William Connolly most recently updated or refreshed?

The details pertaining to the Thomas William Connolly, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-17.

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