Active NPIOrganization

Mary C Squire DDS PC

Dentist in Manchester CT, Vermont

NPI Number1285858068
Practice location
3429 Richville RD, Manchester CT, VT 05255
Fax
802-366-9099
Last updated
August 22, 2020

Mary C Squire DDS PC is a healthcare organization based in Manchester CT, VT. Mary C Squire DDS PC practices in Manchester CT, VT. The NPI Number for Mary C Squire DDS PC is 1285858068 and holds a License No. 041234 (NY). The current practice location address for Mary C Squire DDS PC is 3429 Richville RD, Manchester CT, VT 05255 and can be reached out via phone at 802-366-9119 and via fax at 802-366-9099.

Provider Profile Details

NPI Number
1285858068
Provider Name
Mary C Squire DDS PC
Provider Entity Type
Organization
Address
3429 Richville RD, Manchester CT, VT 05255
Phone Number
802-366-9119
Fax Number
802-366-9099
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Dr. Mary C Squire, DDS · President · 802-366-9119
Other Names
Mary C Squire DDS (Former Legal Business Name)
Provider Enumeration Date
April 12, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
3429 Richville RD
Manchester CT, VT 05255
State
Vermont
Zip
05255
Phone Number
802-366-9119
Fax Number
802-366-9099
Manchester CT, VT 05255Get directions →

Provider Business Mailing Address Details

Address
Po Box 1724
Manchester Center, VT 05255
City
Manchester Center
State
VT
Zip
05255
Phone Number
802-366-9119
Fax Number
802-366-9099

License Information

License Number (1)
041234
License State (1)
NY
Taxonomy (1)
Dentist · 122300000X
License Number (2)
1079
License State (2)
VT
Taxonomy (2)
Dentist · 122300000X · 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 Mary C Squire DDS PC?

The NPI number of Mary C Squire DDS PC is 1285858068. It was assigned on April 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Mary C Squire DDS PC?

Mary C Squire DDS PC is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 041234.

Where does Mary C Squire DDS PC practice?

The practice location is 3429 Richville RD, Manchester CT, VT 05255. The office can be reached at 802-366-9119 (phone) or 802-366-9099 (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 1285858068 directly on the NPPES registry website.

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