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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

NPI # 1851404271
LBN Legal business name MIDDLEBURY DENTAL GROUP
Authorized official KIM MONTGOMERY - (OWNER/DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/17/2006
Last updated 01/05/2010 - About 16 years ago
Identifiers n/a
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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