Chittenden Dental | |
258 Pearl St Burlington VT 05401-8573 | |
(802) 863-4146 | |
Not Available |
Full Name | Chittenden Dental |
---|---|
Speciality | Clinic/center - Dental |
Location | 258 Pearl St, Burlington, Vermont |
Authorized Official Name and Position | Michael Morris (OWNER) |
Authorized Official Contact | 7724182612 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Chittenden Dental 258 Pearl St Burlington VT 05401-8573 Ph: (802) 863-4146 | Chittenden Dental 258 Pearl St Burlington VT 05401-8573 Ph: (802) 863-4146 |
NPI Number | 1750887576 |
---|---|
Provider Enumeration Date | 04/02/2018 |
Last Update Date | 04/02/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750887576 | NPI | - | NPPES |
1760893176 | Other | PERSONAL NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | VT016.0107639 (Vermont) | Primary |
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