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Contact Information

MIDDLEBURY DENTAL GROUP
1330 EXCHANGE ST
MIDDLEBURY, VT05753-4425
 Phone: 802-388-3553
 Fax: 802-388-7377
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Endodontics

1223E0200X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for MIDDLEBURY DENTAL GROUP · (Female)

NPI Number 1851404271
Status Active
Credentials
Entity Individual
Enumeration date 08/17/2006
Last updated 01/05/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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