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Contact Information

MAIN STREET FAMILY DENTISTRY, PC
152 MAIN STREET
MONTPELIER, VT05602
 Phone: 802-229-0690
 Fax: 802-229-4793
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MAIN STREET FAMILY DENTISTRY PC · (Female)

NPI # 1487678876
Status Active
Credentials
Entity Individual
Enumeration date 07/27/2006
Last updated 01/07/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • VT License # 2028
  • VT License # 2062
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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