MIDDLEBURY PEDIATRIC DENTISTRY PLLC NPI 1053937292

NPI Information

MIDDLEBURY PEDIATRIC DENTISTRY, PLLC is a pediatric dentistry dentist in Middlebury, VT. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. MIDDLEBURY PEDIATRIC DENTISTRY, PLLC NPI is 1053937292. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

132 S VILLAGE GRN
MIDDLEBURY, VT
ZIP 05753-900
Phone: (802) 388-0909
Fax: (802) 989-7095

The provider's authorized official is Brian D Collins .
The authorized official title is Owner / Member and has the following contact phone number (802) 388-0909.

The enumeration date for this NPI number is 6/23/2020 and was last updated on 6/23/2020.

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:

Other Identifiers

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