Southern Vermont Endontics, Pc in Rutland - Endodontics
Southern Vermont Endontics, Pc - NPI 1558483321
Southern Vermont Endontics, Pc is a Endodontics in Rutland, Vermont. Southern Vermont Endontics, Pc practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Southern Vermont Endontics, Pc is 1558483321. The last update date is 2020-08-22.
Southern Vermont Endontics, Pc's current location address is Po Box 130, Rutland, Vermont. You can contact this provider via phone number 8027739715 and fax number 8027757667. The mailing address for Southern Vermont Endontics, Pc is Po Box 130, Rutland, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Vermont Endontics, Pc |
|---|---|
| Address | Po Box 130, Rutland, Vermont |
| Phone Number | 8027739715 |
| Fax Number | 8027757667 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ullman Lang Cheryl |
| Credentials | DMD |
| Telephone Number | 8027737767 |
NPI Number Detail
| NPI Number | 1558483321 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 130 |
|---|---|
| City | Rutland |
| State | Vermont (VT) |
| Post Code | 57020130 |
| Phone Number | 8027739715 |
| Fax Number | 8027757667 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 1124 |
|
Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1009354 | VT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Southern Vermont Endontics, Pc by the Centers for Medicare & Medicaid Services?
The Southern Vermont Endontics, Pc has been assigned the NPI (National Provider Identifier) 1558483321 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Southern Vermont Endontics, Pc's facilities are situated?
The facilities of Southern Vermont Endontics, Pc are physically located at the following address: Po Box 130, Rutland, VT, 57020130.
What is the Southern Vermont Endontics, Pc's specialty and taxonomy code?
The Southern Vermont Endontics, Pc's specialty is Endodontics, and the corresponding taxonomy code is 1223E0200X.
On what date did the Southern Vermont Endontics, Pc receive the assignment of its 1558483321 from the Centers for Medicare & Medicaid Services?
The Southern Vermont Endontics, Pc was issued its 1558483321 by the Centers for Medicare & Medicaid Services on 2007-04-04.
When was the information regarding Southern Vermont Endontics, Pc most recently updated?
The details pertaining to the Southern Vermont Endontics, Pc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH