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SALLY A. BISHKODDS NPI 1275689564


NPI Information

NPI: 1275689564
Provider Name: SALLY A. BISHKO,DDS

Doing Business As: RIVER STATION FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
535 STONE CUTTERS WAY
SUITE 103
MONTPELIER, VT
ZIP 05602
Phone: (802) 223-2244
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SALLY A. BISHKO,DDS is a general practice dentist in Montpelier, 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. SALLY A. BISHKO,DDS NPI is 1275689564. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As River Station Family Dentistry.

The provider's business location address is:

535 STONE CUTTERS WAY
SUITE 103
MONTPELIER, VT
ZIP 05602-795
Phone: (802) 223-2244
Fax: (802) 223-1283

The provider's authorized official is Sally Ann Bishko .
The authorized official title is Owner and has the following contact phone number (802) 223-2244.

The enumeration date for this NPI number is 1/27/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice847VERMONTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1$$$$$$$$$OTHERSOCIAL SECURITY NUMBER
21012461MEDICAIDVERMONT

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: 5/5/2024

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