Active NPIOrganization

Bruce C. Latelle & Albert St..amand DDS Ptr

Dentist, General Practice in Burlington, Vermont

NPI Number1063563732
Practice location
61 S Willard St, Burlington, VT 05401-3419
Fax
802-651-9301
Last updated
June 18, 2008

Bruce C. Latelle & Albert St..amand DDS Ptr is a healthcare organization based in Burlington, VT. Bruce C. Latelle & Albert St..amand DDS Ptr practices in Burlington, VT. The NPI Number for Bruce C. Latelle & Albert St..amand DDS Ptr is 1063563732 and holds a License No. 525 (VT). The current practice location address for Bruce C. Latelle & Albert St..amand DDS Ptr is 61 S Willard St, Burlington, VT 05401-3419 and can be reached out via phone at 802-863-1315 and via fax at 802-651-9301.

Provider Profile Details

NPI Number
1063563732
Provider Name
Bruce C. Latelle & Albert St..amand DDS Ptr
Provider Entity Type
Organization
Address
61 S Willard St, Burlington, VT 05401-3419
Phone Number
802-863-1315
Fax Number
802-651-9301
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Mrs. Patty Sharrow · Office Manager · 802-863-1315
Other Names
Associates In Comprehensive Dental Care (Doing Business As)
Provider Enumeration Date
January 16, 2007
Last Update Date
June 18, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
61 S Willard St
Burlington, VT 05401-3419
State
Vermont
Zip
05401-3419
Phone Number
802-863-1315
Fax Number
802-651-9301
Burlington, VT 05401Get directions →

Provider Business Mailing Address Details

Address
61 S Willard St
Burlington, VT 05401-3419
City
Burlington
State
VT
Zip
05401-3419
Phone Number
802-863-1315
Fax Number
802-651-9301

License Information

License Number (1)
525
License State (1)
VT
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
534
License State (2)
VT
Taxonomy (2)
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 Bruce C. Latelle & Albert St..amand DDS Ptr?

The NPI number of Bruce C. Latelle & Albert St..amand DDS Ptr is 1063563732. It was assigned on January 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Bruce C. Latelle & Albert St..amand DDS Ptr?

Bruce C. Latelle & Albert St..amand DDS Ptr is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in VT under license number 525.

Where does Bruce C. Latelle & Albert St..amand DDS Ptr practice?

The practice location is 61 S Willard St, Burlington, VT 05401-3419. The office can be reached at 802-863-1315 (phone) or 802-651-9301 (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 1063563732 directly on the NPPES registry website.

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