Provider Type Icon

CHAMPLAIN ORTHODONTIC ASSOCIATES NPI 1679684260


NPI Information

NPI: 1679684260
Provider Name: CHAMPLAIN ORTHODONTIC ASSOCIATES
Classification: Dentist - 1223X0400X
Entity Type: Organization

Specialization: Orthodontics and Dentofacial Orthopedics

CLIA Number: 47D0865549

Address:
247 PEARL ST
BURLINGTON, VT
ZIP 05401
Phone: (802) 652-4000
Get Directions

CHAMPLAIN ORTHODONTIC ASSOCIATES is an orthodontics and dentofacial orthopedics dentist in Burlington, VT. The provider is that area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. CHAMPLAIN ORTHODONTIC ASSOCIATES NPI is 1679684260. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

247 PEARL ST
BURLINGTON, VT
ZIP 05401-502
Phone: (802) 652-4000
Fax: (802) 864-0320

The provider's authorized official is J. Peter Sande .
The authorized official title is President and has the following contact phone number (802) 652-4000.

The CLIA number assigned to this NPI record is 47D0865549 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223X0400XDentistOrthodontics and Dentofacial OrthopedicsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.