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VERMONT TECHNICAL COLLEGE DEPARTMENT OF DENTA NPI 1134473218


NPI Information

NPI: 1134473218
Provider Name: VERMONT TECHNICAL COLLEGE DEPARTMENT OF DENTA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
301 LAWRENCE PLACE
WILLISTON, VT
ZIP 05495
Phone: (802) 879-5643
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VERMONT TECHNICAL COLLEGE DEPARTMENT OF DENTA is a general practice dentist in Williston, VT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. VERMONT TECHNICAL COLLEGE DEPARTMENT OF DENTA NPI is 1134473218. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

301 LAWRENCE PLACE
WILLISTON, VT
ZIP 05495
Phone: (802) 879-5643
Fax: (802) 879-2317

The provider's authorized official is Ellen B Grimes .
The authorized official title is Department Chair and has the following contact phone number (802) 879-5643.

The enumeration date for this NPI number is 10/29/2012 and was last updated on 3/18/2014.


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
11223G0001XDentistGeneral PracticeYes

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: 11/14/2023

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