| Champlain Orthodontic Associates | |
|
247 Pearl St Burlington VT 05401-8502 | |
| (802) 652-4000 | |
| (802) 864-0320 |
| Full Name | Champlain Orthodontic Associates |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 247 Pearl St, Burlington, Vermont |
| Authorized Official Name and Position | J. Peter Sande (PRESIDENT) |
| Authorized Official Contact | 8026524000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Champlain Orthodontic Associates 247 Pearl St Burlington VT 05401-8502 Ph: (802) 652-4000 | Champlain Orthodontic Associates 247 Pearl St Burlington VT 05401-8502 Ph: (802) 652-4000 |
| NPI Number | 1679684260 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679684260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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