| Waterbury Family Dentistry, Plc | |
|
77 S. Main St. Suite 3 Waterbury VT 05676 | |
| (802) 244-6366 | |
| (802) 244-8514 |
| Full Name | Waterbury Family Dentistry, Plc |
|---|---|
| Speciality | Dentist |
| Location | 77 S. Main St., Waterbury, Vermont |
| Authorized Official Name and Position | Gary L. Morris (OWNER/DENTIST) |
| Authorized Official Contact | 8022446366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterbury Family Dentistry, Plc 77 S. Main St. Suite 3 Waterbury VT 05676 Ph: (802) 244-6366 | Waterbury Family Dentistry, Plc 77 S. Main St. Suite 3 Waterbury VT 05676 Ph: (802) 244-6366 |
| NPI Number | 1275733354 |
|---|---|
| Provider Enumeration Date | 07/18/2007 |
| Last Update Date | 10/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275733354 | NPI | - | NPPES |
| 1004239 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0160001187 (Vermont) | Primary |
| 1223G0001X | Dentist - General Practice | 2031 (Vermont) | Secondary |
Mount Mansfield Sedation And General Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 S Main St, Suite 3, Waterbury, VT 05676 Phone: 802-244-6366 | |
B And J Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 S Main St Ste 3, Waterbury, VT 05676 Phone: 802-244-6366 |