Active NPIOrganization

Shelburne Dental Services, P.c.

Dentist, General Practice in Shelburne, Vermont

NPI Number1053751164
Practice location
30 Shelburne Shopping Park, Shelburne, VT 05482-7488
Fax
802-985-2979
Last updated
July 3, 2013

Shelburne Dental Services, P.c. is a healthcare organization based in Shelburne, VT. Shelburne Dental Services, P.c. practices in Shelburne, VT. The NPI Number for Shelburne Dental Services, P.c. is 1053751164 and holds a License No. 016-60069455 (VT). The current practice location address for Shelburne Dental Services, P.c. is 30 Shelburne Shopping Park, Shelburne, VT 05482-7488 and can be reached out via phone at 802-985-3500 and via fax at 802-985-2979.

Provider Profile Details

NPI Number
1053751164
Provider Name
Shelburne Dental Services, P.c.
Provider Entity Type
Organization
Address
30 Shelburne Shopping Park, Shelburne, VT 05482-7488
Phone Number
802-985-3500
Fax Number
802-985-2979
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Nathan Bouchard, DDS · Owner/Dentist · 603-320-4994
Other Names
Shelburne Dental Group (Doing Business As)
Provider Enumeration Date
July 3, 2013
Last Update Date
July 3, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Shelburne Shopping Park
Shelburne, VT 05482-7488
State
Vermont
Zip
05482-7488
Phone Number
802-985-3500
Fax Number
802-985-2979
Shelburne, VT 05482Get directions →

Provider Business Mailing Address Details

Address
267 Pearl St Unit B1
Burlington, VT 05401-8543
City
Burlington
State
VT
Zip
05401-8543
Phone Number
603-320-4994

License Information

License Number
016-60069455
License State
VT
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shelburne Dental Services, P.c.?

The NPI number of Shelburne Dental Services, P.c. is 1053751164. It was assigned on July 3, 2013 and is currently active in the NPPES registry.

What is the specialty of Shelburne Dental Services, P.c.?

Shelburne Dental Services, P.c. is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in VT under license number 016-60069455.

Where does Shelburne Dental Services, P.c. practice?

The practice location is 30 Shelburne Shopping Park, Shelburne, VT 05482-7488. The office can be reached at 802-985-3500 (phone) or 802-985-2979 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053751164 directly on the NPPES registry website.

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