Boerman, Paul Gregory

Boerman, Paul Gregory is an individual health care provider with primary practice located at 44 Timber Lane , South Burlington VT 05403-7282. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Boerman, Paul Gregory can be contacted via phone (802) 860-6725.

Contact Information

Primary practice address
44 Timber Lane South Burlington VT 05403-7282
Phone: (802) 860-6725
Fax: (802) 864-1511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0160000990 Vermont

Profile Details

NPI number 1104830512
LBN Legal business name Boerman, Paul Gregory
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104830512 NPPES
Vermont MEDICAID 9446
Vermont Other 102V101
Vermont Other 8309

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