Active NPIIndividual providerSole proprietor

Dr. Kristen M Gibilisco, DMD

Dentist in Colchester, Vermont

NPI Number1558786889
Practice location
369 Heineberg Dr, Colchester, VT 05446-6774
Fax
—
Last updated
March 22, 2022

Kristen Marie Gibilisco is a Dentist based in Colchester, VT. Kristen Marie Gibilisco practices in Colchester, VT and has the professional credentials of DMD. The NPI Number for Kristen Marie Gibilisco is 1558786889 and holds a License No. DN1856545 (MA). The current practice location address for Kristen Marie Gibilisco is 369 Heineberg Dr, Colchester, VT 05446-6774 and can be reached out via phone at 802-658-4873.

Provider Profile Details

NPI Number
1558786889
Provider Name
Kristen Marie Gibilisco
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
369 Heineberg Dr, Colchester, VT 05446-6774
Phone Number
802-658-4873
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Other Names
Dr. Kristen Marie Bonkowski, DMD (Former Name)
Provider Enumeration Date
February 24, 2014
Last Update Date
March 22, 2022
Certification Date
March 22, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
369 Heineberg Dr
Colchester, VT 05446-6774
State
Vermont
Zip
05446-6774
Phone Number
802-658-4873
Colchester, VT 05446Get directions →

Provider Business Mailing Address Details

Address
369 Heineberg Dr
Colchester, VT 05446-6774
City
Colchester
State
VT
Zip
05446-6774
Phone Number
802-658-4873

License Information

License Number (1)
DN1856545
License State (1)
MA
Taxonomy (1)
Dentist · 122300000X
License Number (2)
DN014807
License State (2)
GA
Taxonomy (2)
Dentist · 122300000X
License Number (3)
016.0134062
License State (3)
VT
Taxonomy (3)
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 Dr. Kristen M Gibilisco, DMD?

The NPI number of Dr. Kristen M Gibilisco, DMD is 1558786889. It was assigned on February 24, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Kristen M Gibilisco, DMD?

Dr. Kristen M Gibilisco, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1856545.

Where does Dr. Kristen M Gibilisco, DMD practice?

The practice location is 369 Heineberg Dr, Colchester, VT 05446-6774. The office can be reached at 802-658-4873 (phone).

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 1558786889 directly on the NPPES registry website.

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