| Brandon Vanasse Dmd Pllc | |
|
296 Main Street Derby VT 05829 | |
| (802) 766-4711 | |
| Not Available |
| Full Name | Brandon Vanasse Dmd Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 296 Main Street, Derby, Vermont |
| Authorized Official Name and Position | Brandon Vanasse (OWNER) |
| Authorized Official Contact | 8027664711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Vanasse Dmd Pllc Po Box 290 Derby VT 05829-0290 Ph: () - | Brandon Vanasse Dmd Pllc 296 Main Street Derby VT 05829 Ph: (802) 766-4711 |
| NPI Number | 1588139463 |
|---|---|
| Provider Enumeration Date | 10/08/2018 |
| Last Update Date | 10/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588139463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Dennis E. Leblanc, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 296 Main St., Derby, VT 05829 Phone: 802-766-4711 |