Sherilynn Stofka, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

016-0002076 Issued in VT

Practice address

66 N Main St
Rutland, VT 05701-3249

Phone

(802) 775-9700

Fax

(802) 775-3237

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Maxillofacial Surgery

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Green Mountain Oral Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Rutland, VT
  • NPI 1780886036
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023193273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 N MAIN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013249",
            "telephone_number": "802-775-9700",
            "fax_number": "802-775-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 N MAIN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013249",
            "telephone_number": "802-775-9700",
            "fax_number": "802-775-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOFKA",
        "first_name": "SHERILYNN",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VT",
            "license": "016-0002076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Stevens
• Matthew E Stevens, PA
• Maureen Stevens, MS CMHC
• Mark C Stickney, M.D.
• Facundo Eduardo Stingo, M.D.
• Cynthia L Stone, LICSW
• Jeffrey Stone, PHARMD
• Stratton Dental Arts
• Stephen Stratton, LCMHC
• Jaclyn Strohmeyer, OTR/L

• Oral and Maxillofacial Surgery (Dentist) in Rutland, VT
• Providers in Rutland, VT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.