| Aspen Dental | |
|
474 Holiday Dr Ste 1 Rutland VT 05701-4889 | |
| (802) 775-1600 | |
| Not Available |
| Full Name | Aspen Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 474 Holiday Dr Ste 1, Rutland, Vermont |
| Authorized Official Name and Position | Cathy Cluett (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Contact | 31545460000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | Aspen Dental 474 Holiday Dr Ste 1 Rutland VT 05701-4889 Ph: (802) 775-1600 |
| NPI Number | 1629421474 |
|---|---|
| Provider Enumeration Date | 07/18/2016 |
| Last Update Date | 07/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629421474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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