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100 Thunderbird Dr Blgd Dental Swanton VT 05488-8534 | |
| (802) 255-5580 | |
| (802) 255-5589 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Thunderbird Dr, Swanton, Vermont |
| Authorized Official Name and Position | Pamela Parsons (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8022555561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
44 Main St Suite 200 Richford VT 05476-1141 Ph: (802) 255-5500 | 100 Thunderbird Dr Blgd Dental Swanton VT 05488-8534 Ph: (802) 255-5580 |
| NPI Number | 1174844591 |
|---|---|
| Provider Enumeration Date | 06/21/2010 |
| Last Update Date | 09/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174844591 | NPI | - | NPPES |
| 1006289 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |