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General NPI Number Information
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NPI Number | 1932363041
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Entity Type | Organization
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Legal Business Name | ORAL AND FACIAL SURGERY ASSOCIATES,PLC
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Dates
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Enumeration Date | 07/17/2008
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 2 HARWOOD DR
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City | BENNINGTON
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State | VT
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Zip | 05201-2323
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Country | US
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Telephone | 802-447-7073
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Fax | 802-442-2725
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Provider Business Mailing Address
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Address Line | 2 HARWOOD DR
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City | BENNINGTON
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State | VT
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Zip | 05201-2323
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Country | US
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Telephone | 802-447-7073
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Fax | 802-442-2725
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Authorized Official
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Title or Position | ORAL SURGEON
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Name | DR. CHRISTOPHER BEVIN
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Credential | DMD,MD
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Telephone | 802-447-7073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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