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:
Health care specialties
| Specialty | Code | License # | 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 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104830512 | NPPES |
| Vermont | MEDICAID | 9446 | |
| Vermont | Other | 102V101 | |
| Vermont | Other | 8309 |
Popular Providers
-
Schabes, George A
2035 Lakeville Rd Ste 204, New Hyde Park NY 11040-1661 -
Brevard, Rebekah R
101 Stone Harbor Blvd , Cape May Court House NJ 08210-2135 -
Connolly, Thomas William
118 Tilley Drive Suite 102, South Burlington VT 05403-7282 -
Lalani, Zahid S
8687 Louetta Rd Suite 100, Spring TX 77379-6672 -
Orden, Adam
1330 Beacon St Ste 344, Brookline MA 02446-3202 -
Lawrence, Martha M.
1395 Center Dr # D7-6A Ufcd Oral And Maxillofacial Surgery, Box 100416, Gainesville FL 32610-0416 -
Erlichman, Michael C
703 Main Street St. Joseph'S Regional Medical Center, Paterson NJ 07503 -
Radecki, Cass Anthony
203 W Michigan Ave , Saline MI 48176-1329