| Northern Counties Dental Center | |
|
151 North Main Street Hardwick VT 05843 | |
| (802) 472-2260 | |
| (802) 472-2263 |
| Full Name | Northern Counties Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 151 North Main Street, Hardwick, Vermont |
| Authorized Official Name and Position | Patrick Flood (EXECUTIVE DIRECTOR/CEO) |
| Authorized Official Contact | 8027489405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Counties Dental Center 165 Sherman Drive St. Johnsbury VT 05819 Ph: (802) 748-9405 | Northern Counties Dental Center 151 North Main Street Hardwick VT 05843 Ph: (802) 472-2260 |
| NPI Number | 1114044344 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 01/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114044344 | NPI | - | NPPES |
| 2332 | Other | VT | BC GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
Hardwick Dental Group P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 West Chruch Street, Hardwick, VT 05843 Phone: 802-472-5005 Fax: 802-472-3109 | |
Northeast Kingdom Dental Group Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 W Church St, Hardwick, VT 05843 Phone: 802-472-5005 |