New England Oral Surgery PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

016.0002059 Issued in VT

Legal business name

NEW ENGLAND ORAL SURGERY PC

Practice address

14 N Main St
Suite 4001
Barre, VT 05641-4197

Phone

(802) 622-0323

NPI assigned

Apr 11, 2013

Last updated

Feb 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Melvin

Title

Practice Manager

Phone

(802) 622-0678

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1235572918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N MAIN ST",
            "address_2": "SUITE 4001",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056414197",
            "telephone_number": "802-622-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 N MAIN ST",
            "address_2": "SUITE 4001",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056414197",
            "telephone_number": "802-622-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND ORAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "MELVIN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "802-622-0678",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VT",
            "license": "016.0002059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0034668",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022121",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Munger
• Suzanne M. Murphy, LICSW
• Eli Mutino, MSW
• Kaitlyn Nascimento, MA
• Margaret Elizabeth Nelson, MD
• New Morning Consulting and Services, LLC
• Destiny Newton
• Stephanie Nicheporuck
• Ashley Marie Noelk
• Kelsey Nolan, RPH

• Oral and Maxillofacial Surgery (Dentist) in Barre, VT
• Providers in Barre, 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 Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.