Active NPIIndividual provider

Dr. Mary C Squire, DDS

Dentist in Manchester Center, Vermont

NPI Number1376557025
Practice location
3429 Richville RD, Manchester Center, VT 05255
Fax
802-366-9099
Last updated
July 8, 2007

Mary Corinne Squire is a Dentist based in Manchester Center, VT. Mary Corinne Squire practices in Manchester Center, VT and has the professional credentials of DDS. The NPI Number for Mary Corinne Squire is 1376557025 and holds a License No. 1079 (VT). The current practice location address for Mary Corinne Squire is 3429 Richville RD, Manchester Center, 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
1376557025
Provider Name
Mary Corinne Squire
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
3429 Richville RD, Manchester Center, VT 05255
Phone Number
802-366-9119
Fax Number
802-366-9099
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
July 28, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

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

Provider Business Mailing Address Details

Address
3740 Route 313
Arlington, VT 05250
City
Arlington
State
VT
Zip
05250
Phone Number
802-375-2747

License Information

License Number (1)
1079
License State (1)
VT
Taxonomy (1)
Dentist · 122300000X · Primary
License Number (2)
041234
License State (2)
NY
Taxonomy (2)
Dentist · 122300000X

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 Dr. Mary C Squire, DDS?

The NPI number of Dr. Mary C Squire, DDS is 1376557025. It was assigned on July 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Mary C Squire, DDS?

Dr. Mary C Squire, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in VT under license number 1079.

Where does Dr. Mary C Squire, DDS practice?

The practice location is 3429 Richville RD, Manchester Center, 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 1376557025 directly on the NPPES registry website.

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