| Chittenden Dental | |
|
258 Pearl St Burlington VT 05401-8573 | |
| (802) 863-4146 | |
| Not Available |
| Full Name | Chittenden Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 258 Pearl St, Burlington, Vermont |
| Authorized Official Name and Position | Michael Morris (OWNER) |
| Authorized Official Contact | 7724182612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chittenden Dental 258 Pearl St Burlington VT 05401-8573 Ph: (802) 863-4146 | Chittenden Dental 258 Pearl St Burlington VT 05401-8573 Ph: (802) 863-4146 |
| NPI Number | 1750887576 |
|---|---|
| Provider Enumeration Date | 04/02/2018 |
| Last Update Date | 04/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750887576 | NPI | - | NPPES |
| 1760893176 | Other | PERSONAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | VT016.0107639 (Vermont) | Primary |
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