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Contact Information

TYLER M ATEN, DMD
118 TILLEY DR
SUITE 101
SOUTH BURLINGTON, VT05403-4450
 Phone: 802-863-3950
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for TYLER M ATEN · (Male)

NPI Number 1437564580
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/27/2014
Last updated 04/24/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • VT License # 016.0112532
  • CT Medicaid 004011136
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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