| Liscio Family Dentistry, Inc. | |
|
369 Heineberg Dr Colchester VT 05446-6774 | |
| (802) 658-4873 | |
| Not Available |
| Full Name | Liscio Family Dentistry, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 369 Heineberg Dr, Colchester, Vermont |
| Authorized Official Name and Position | John Liscio (D.M.D.) |
| Authorized Official Contact | 8026584873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liscio Family Dentistry, Inc. 369 Heineberg Dr Colchester VT 05446-6774 Ph: (802) 658-4873 | Liscio Family Dentistry, Inc. 369 Heineberg Dr Colchester VT 05446-6774 Ph: (802) 658-4873 |
| NPI Number | 1992990071 |
|---|---|
| Provider Enumeration Date | 09/11/2007 |
| Last Update Date | 09/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992990071 | NPI | - | NPPES |
| 00002459 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 016-0000868 (Vermont) | Primary |
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