| Bennington Dental Center Pc | |
|
219 River St Bennington VT 05201-1834 | |
| (802) 442-9500 | |
| Not Available |
| Full Name | Bennington Dental Center Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 219 River St, Bennington, Vermont |
| Authorized Official Name and Position | Tyler J Carmack (OWNER) |
| Authorized Official Contact | 8024429500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bennington Dental Center Pc 219 River St Bennington VT 05201-1834 Ph: (802) 442-9500 | Bennington Dental Center Pc 219 River St Bennington VT 05201-1834 Ph: (802) 442-9500 |
| NPI Number | 1104100841 |
|---|---|
| Provider Enumeration Date | 09/29/2011 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104100841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0160073365 (Vermont) | Primary |
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