| Vermont Technical College Department Of Denta | |
|
301 Lawrence Place Williston VT 05495 | |
| (802) 879-5643 | |
| (802) 879-2317 |
| Full Name | Vermont Technical College Department Of Denta |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 301 Lawrence Place, Williston, Vermont |
| Authorized Official Name and Position | Ellen B Grimes (DEPARTMENT CHAIR) |
| Authorized Official Contact | 8028795643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vermont Technical College Department Of Denta 301 Lawrence Place Williston VT 05495 Ph: (802) 879-5643 | Vermont Technical College Department Of Denta 301 Lawrence Place Williston VT 05495 Ph: (802) 879-5643 |
| NPI Number | 1134473218 |
|---|---|
| Provider Enumeration Date | 10/29/2012 |
| Last Update Date | 03/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134473218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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