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12 Mapleville Depot St Albans VT 05478 | |
| (802) 527-1227 | |
| (802) 527-3767 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12 Mapleville Depot, St Albans, Vermont |
| Authorized Official Name and Position | Richard A Dickinson (PARTNER) |
| Authorized Official Contact | 8025271227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12 Mapleville Depot St Albans VT 05478 Ph: (802) 527-1227 | 12 Mapleville Depot St Albans VT 05478 Ph: (802) 527-1227 |
| NPI Number | 1275653594 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275653594 | NPI | - | NPPES |
| 1011995 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |