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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

NPI Number 1487678876
LBN Legal business name MAIN STREET FAMILY DENTISTRY, PC
Authorized official CASSANDRA LANSKY - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/27/2006
Last updated 01/07/2009 - About 17 years ago
Identifiers
VT License # 2028
VT License # 2062
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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