Active NPIIndividual provider

Dr. Jared V Rediske, DDS

Dentist, General Practice in Brattleboro, Vermont

NPI Number1518180389
Practice location
72 Landmark Hill Dr, Brattleboro, VT 05301-9168
Fax
802-254-3820
Last updated
July 8, 2007

Jared Vernon Rediske is a Dentist, General Practice based in Brattleboro, VT. Jared Vernon Rediske practices in Brattleboro, VT and has the professional credentials of DDS. The NPI Number for Jared Vernon Rediske is 1518180389 and holds a License No. 016-0002226 (VT). The current practice location address for Jared Vernon Rediske is 72 Landmark Hill Dr, Brattleboro, VT 05301-9168 and can be reached out via phone at 802-254-9244 and via fax at 802-254-3820.

Provider Profile Details

NPI Number
1518180389
Provider Name
Jared Vernon Rediske
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
72 Landmark Hill Dr, Brattleboro, VT 05301-9168
Phone Number
802-254-9244
Fax Number
802-254-3820
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
April 10, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
72 Landmark Hill Dr
Brattleboro, VT 05301-9168
State
Vermont
Zip
05301-9168
Phone Number
802-254-9244
Fax Number
802-254-3820
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
58 Log Cabin Dr
Guilford, VT 05301-8325
City
Guilford
State
VT
Zip
05301-8325
Phone Number
802-275-0227

License Information

License Number
016-0002226
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 Dr. Jared V Rediske, DDS?

The NPI number of Dr. Jared V Rediske, DDS is 1518180389. It was assigned on April 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Jared V Rediske, DDS?

Dr. Jared V Rediske, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in VT under license number 016-0002226.

Where does Dr. Jared V Rediske, DDS practice?

The practice location is 72 Landmark Hill Dr, Brattleboro, VT 05301-9168. The office can be reached at 802-254-9244 (phone) or 802-254-3820 (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 1518180389 directly on the NPPES registry website.

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