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MIDDLEBURY DENTAL GROUP NPI 1851404271


NPI Information

NPI: 1851404271
Provider Name: MIDDLEBURY DENTAL GROUP
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1330 EXCHANGE ST
MIDDLEBURY, VT
ZIP 05753
Phone: (802) 388-3553
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MIDDLEBURY DENTAL GROUP is a general practice dentist in Middlebury, 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. MIDDLEBURY DENTAL GROUP NPI is 1851404271. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1330 EXCHANGE ST
MIDDLEBURY, VT
ZIP 05753-425
Phone: (802) 388-3553
Fax: (802) 388-7377

The provider's authorized official is Kim Roderick Montgomery .
The authorized official title is Owner/dentist and has the following contact phone number (802) 388-3553.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 1/5/2010.


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
11223E0200XDentistEndodonticsNo
21223P0300XDentistPeriodonticsNo
31223G0001XDentistGeneral 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: 4/28/2024

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