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ALLEN BROOK COMPREHENSIVE DENTAL P.L.C NPI 1811191158


NPI Information

NPI: 1811191158
Provider Name: ALLEN BROOK COMPREHENSIVE DENTAL, P.L.C
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
300 CORNERSTONE DR
SUITE 215
WILLISTON, VT
ZIP 05495
Phone: (802) 878-7775
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ALLEN BROOK COMPREHENSIVE DENTAL, P.L.C 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. ALLEN BROOK COMPREHENSIVE DENTAL, P.L.C NPI is 1811191158. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 CORNERSTONE DR
SUITE 215
WILLISTON, VT
ZIP 05495-012
Phone: (802) 878-7775
Fax: (802) 879-8388

The provider's authorized official is Carmen Alcala .
The authorized official title is Dentist and has the following contact phone number (802) 878-7775.

The enumeration date for this NPI number is 6/12/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice016-0001175VERMONTYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OVN0448MEDICAIDVERMONT

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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