| Community Dental | |
|
69 Allen St Ste 10 Rutland VT 05701-4564 | |
| (802) 774-5050 | |
| Not Available |
| Full Name | Community Dental |
|---|---|
| Speciality | Dentist |
| Location | 69 Allen St Ste 10, Rutland, Vermont |
| Authorized Official Name and Position | Grant Whitmer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8024685641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Dental 275 Route 30 N Bomoseen VT 05732-9647 Ph: (802) 468-5641 | Community Dental 69 Allen St Ste 10 Rutland VT 05701-4564 Ph: (802) 774-5050 |
| NPI Number | 1437364759 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 08/01/2019 |
| Medicare PECOS PAC ID | 2961467386 |
|---|---|
| Medicare Enrollment ID | O20191011001136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437364759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Julie Ann Pratt |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1891075768 PECOS PAC ID: 9335571322 Enrollment ID: I20191113000366 |
| Provider Name | Jeremy W Bullock |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1679673834 PECOS PAC ID: 7012349061 Enrollment ID: I20191113003220 |
| Provider Name | Alison Landgraf |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1013534486 PECOS PAC ID: 9931528601 Enrollment ID: I20200929003206 |
| Provider Name | Abby Trenaman Gaughan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1710340120 PECOS PAC ID: 4284020306 Enrollment ID: I20220329002127 |
| Provider Name | Mohammed Shakarchi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1023701281 PECOS PAC ID: 2567821267 Enrollment ID: I20230628003169 |
| Provider Name | Jordan Ashley Gray |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1548613086 PECOS PAC ID: 1052774577 Enrollment ID: I20230831002110 |
Heaton & Fisch Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 N Main St, Rutland, VT 05701 Phone: 802-775-5286 Fax: 802-775-2218 | |
The Center For Dental Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Stratton Rd Ste 2, Rutland, VT 05701 Phone: 802-775-5777 | |
Allen Pond Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Allen St, Suite 301, Rutland, VT 05701 Phone: 802-775-0986 Fax: 802-419-3300 | |
Center For Dental Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Stratton Rd, Rutland, VT 05701 Phone: 802-775-5777 | |
Lynn H. Duboff, Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Allen St, Rutland, VT 05701 Phone: 802-779-6137 | |
Jonathan E Mason Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 General Wing Rd, Rutland, VT 05701 Phone: 802-775-0819 | |
Dick & Duboff Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Stratton Rd, Rutland, VT 05701 Phone: 802-775-6981 Fax: 802-775-1705 |