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Contact Information

NATHAN A BOUCHARD, DDS
44 MAIN STREET
RICHFORD HEALTH CENTER DENTAL CLINIC
RICHFORD, VT05476
 Phone: 802-255-5520
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for NATHAN A BOUCHARD · (Male)

NPI # 1174836647
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/26/2010
Last updated 07/26/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • VT License # 016.0069455
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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