National Provider Identifier Database

MIDDLEBURY DENTAL GROUP
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

MIDDLEBURY DENTAL GROUP
1330 EXCHANGE ST
MIDDLEBURY, VT05753-4425
Phone: 802-388-3553
Fax: 802-388-7377
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X
Endodontics 1223E0200X
Periodontics 1223P0300X

* Indicates primary specialty

NPI Profile & details for MIDDLEBURY DENTAL GROUP

NPI Number 1851404271
Legal business name
LBN
MIDDLEBURY DENTAL GROUP
Authorized official KIM MONTGOMERY - (OWNER/DENTIST)
Entity Organization
Organization subpart No
Enumeration date 08/17/2006
Last updated 01/05/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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