Charles A Bookwalter in So Burlington - Pediatric Dentistry

Charles A Bookwalter - NPI 1760575211

Charles A Bookwalter is a Pediatric Dentistry in So Burlington, Vermont. Charles A Bookwalter practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Charles A Bookwalter is 1760575211. The last update date is 2007-07-08.

Charles A Bookwalter's current location address is 60 Timber Lane, So Burlington, Vermont. You can contact this provider via phone number 8022646909 and fax number 8028628942. The mailing address for Charles A Bookwalter is 60 Timber Lane, So Burlington, Vermont. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles A Bookwalter
Address 60 Timber Lane, So Burlington, Vermont
Phone Number 8022646909
Fax Number 8028628942
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1760575211
Provider Enumeration Date 2006-10-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 60 Timber Lane
City So Burlington
State Vermont (VT)
Post Code 5403
Phone Number 8022646909
Fax Number 8028628942

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 160002050
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1006382 VT --

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FAQs about Charles A Bookwalter

What is the unique identifier code issued to Charles A Bookwalter by the Centers for Medicare & Medicaid Services?

The Charles A Bookwalter has been assigned the NPI (National Provider Identifier) 1760575211. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Charles A Bookwalter is located?

The Charles A Bookwalter is situated at the following address: 60 Timber Lane, So Burlington, VT, 5403.

What is Charles A Bookwalter's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Charles A Bookwalter is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services assign the 1760575211 to Charles A Bookwalter?

The Centers for Medicare & Medicaid Services assigned the 1760575211 to Charles A Bookwalter on 2006-10-02.

As of what date were the details related to Charles A Bookwalter most recently updated or revised?

The information pertaining to Charles A Bookwalter, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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