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Contact Information

BRANDON VANASSE
296 MAIN STREET
DERBY, VT05829
 Phone: 802-766-4711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for BRANDON VANASSE · (Male)

NPI # 1124479662
Status Active
Credentials
Entity Individual
Enumeration date 06/27/2016
Last updated 06/27/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • VT License # 016.0120905
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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