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Contact Information

SOUTHERN VERMONT ENDONTICS, PC
71 ALLEN ST
SUITE 204
RUTLAND, VT05701-4570
 Phone: 802-773-7767
 Fax: 802-775-7667
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for SOUTHERN VERMONT ENDONTICS PC · (Female)

NPI # 1558483321
Status Active
Credentials
Entity Individual
Enumeration date 04/04/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • VT License # 1124
  • VT Medicaid 1009354
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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