<unavail> in South Burlington, VT

is a medicare enrolled dental clinic (Dentist) in South Burlington, Vermont. The current practice location for is 40 Timber Ln, South Burlington, Vermont. For appointments, you can reach them via phone at (802) 862-7185. The mailing address for is 40a Timber Ln, South Burlington, Vermont and phone number is (802) 862-7185.

is licensed to practice in Vermont (license number 016-0000615). The clinic also participates in the medicare program and its NPI number is 1932245362. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (802) 862-7185.

Contact Information


	40 Timber Ln South Burlington VT 05403-7204
	(802) 862-7185
	(802) 658-8036

Map and Direction

Dental Care Clinic Profile

Full Name
Speciality	Dentist
Location	40 Timber Ln, South Burlington, Vermont
Authorized Official Name and Position	Reimy Evangelista De Leon (OWNER)
Authorized Official Contact	7813850484
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
40a Timber Ln South Burlington VT 05403-7204 Ph: (802) 862-7185	40 Timber Ln South Burlington VT 05403-7204 Ph: (802) 862-7185

NPI Details:

NPI Number	1932245362
Provider Enumeration Date	01/30/2007
Last Update Date	05/28/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	6406381730
Medicare Enrollment ID	O20241125000080

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932245362	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	016-0000615 (Vermont)	Primary
261QD0000X	Clinic/center - Dental	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Reimy Evangelista De Leon
Provider Type	Practitioner - Dentist
Provider Identifiers	NPI Number: 1750867800 PECOS PAC ID: 3971964586 Enrollment ID: I20230731000144

Reviews and Comments

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- Medicare Dental Clinic in South Burlington, VT