Chittenden Dental PLLC
Clinic/Center, Dental in Burlington, VT. Organization (NPI-2).
NPI number1750887576
StatusActive
Last updated in NPPESOct 9, 2026
Details
- NPI
- 1750887576
- Entity type
- Organization (NPI-2)
- Legal business name
- Chittenden Dental PLLC
- Organization subpart
- No
- Enumeration date
- Apr 2, 2018
- Certification date
- Oct 9, 2026
- Last updated
- Oct 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | VT016.0107639 | VT | Yes |
| 207QS1201X | Family Medicine, Sleep Medicine | – | – |
Practice location
258 Pearl StBurlington, VT 05401-8573
Phone 802-863-4146
Mailing address
258 Pearl StBurlington, VT 05401-8573
Phone 802-863-4146
Authorized official
Michael Morris
Authorized Official
8028634146
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