| Champlain Smile Solutions, Pllc | |
|
110 Kimball Ave Suite 230 South Burlington VT 05403-6833 | |
| (802) 864-6264 | |
| (802) 864-6402 |
| Full Name | Champlain Smile Solutions, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 110 Kimball Ave, South Burlington, Vermont |
| Authorized Official Name and Position | Matthew David Giulianelli (OWNER/DENTIST) |
| Authorized Official Contact | 8028646264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Champlain Smile Solutions, Pllc 110 Kimball Ave Suite 230 South Burlington VT 05403-6833 Ph: (802) 864-6264 | Champlain Smile Solutions, Pllc 110 Kimball Ave Suite 230 South Burlington VT 05403-6833 Ph: (802) 864-6264 |
| NPI Number | 1962772467 |
|---|---|
| Provider Enumeration Date | 12/31/2011 |
| Last Update Date | 12/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962772467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 016-0002229 (Vermont) | Primary |
| 1223G0001X | Dentist - General Practice | 016-0002257 (Vermont) | Secondary |
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