Dr. Albert S. Hardy
LBN: Vt Center For Dental Implants And Maxillofacial Surgery Llc
Dr. Albert S. Hardy is an health care organization with primary practice located at 792 College Pkwy Ste 307 , Colchester VT 05446-3052. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery is the primary health care specialty.
Vt Center For Dental Implants And Maxillofacial Surgery Llc can be contacted via phone (802) 655-5090, or through Dike, Lisa Marie via phone (802) 655-5090.
Contact Information
Primary practice address
792 College Pkwy Ste 307
Colchester VT 05446-3052
Phone: (802) 655-5090
Fax: (802) 655-9366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 016-0001123 | Vermont |
| Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery | 261QS0112X | 061-0001123 | Vermont |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1063699767 |
|---|---|
| LBN Legal business name | Vt Center For Dental Implants And Maxillofacial Surgery Llc |
| DBA Doing business as | Dr. Albert S. Hardy |
| Authorized official | Dike, Lisa Marie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 24th, 2008 |
| Last updated | Apr 25th, 2024 - about 5 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063699767 | NPPES |
| Vermont | MEDICAID | 1003069 |
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