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Tyler Stanworth
General Practice Dentistry in Williston, Vermont
NPI 1821703018

Tyler Stanworth is a General Practice Dentistry based in Williston, VT and is specialized in General Practice. Tyler Stanworth practices in Williston, VT. The NPI Number for Tyler Stanworth is 1821703018 and holds a License No. (Vermont).

The current practice location address for Tyler Stanworth is 62 Merchants Row Ste 104, Williston, VT and can be reached out via phone at 802-497-6310.

Location: 62 Merchants Row Ste 104, Williston, VT, 05495-4476
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821703018
Provider Name
Tyler Stanworth
Credential
Provider Entity Type
Individual
Gender
Male
Address
62 Merchants Row Ste 104, Williston, VT, 05495-4476
Phone Number
802-497-6310
Fax Number
Provider Enumeration Date
01/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
62 Merchants Row Ste 104
City
Williston
State
Vermont
Zip
05495-4476
Phone Number
802-497-6310
Fax Number
person
Provider Business Mailing Address Details
Address
62 Merchants Row Ste 104
City
Williston
State
Vermont
Zip
05495-4476
Phone Number
802-497-6310
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
016.0134180 (Vermont)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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