Vermont Dental Care
Dentist, General Practice in Winooski, VT. Organization (NPI-2).
NPI number1033247705
StatusActive
Last updated in NPPESSep 22, 2011
Details
- NPI
- 1033247705
- Entity type
- Organization (NPI-2)
- Legal business name
- Vermont Dental Care
- Organization subpart
- Yes
- Enumeration date
- Mar 2, 2007
- Last updated
- Sep 22, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
32 B Malletts Bay AvenueWinooski, VT 05404-1960
Phone 802-655-8822 · Fax 802-655-4242
Mailing address
32 B Malletts Bay AvenueWinooski, VT 05404-1960
Phone 802-655-8822 · Fax 802-655-4242
Authorized official
Charles Seleen
Director
8026558822
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