Middlebury Dental Group in Middlebury - Periodontics
Middlebury Dental Group - NPI 1851404271
Middlebury Dental Group is a Periodontics in Middlebury, Vermont. Middlebury Dental Group practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Middlebury Dental Group is 1851404271. The last update date is 2010-01-05.
Middlebury Dental Group's current location address is 1330 Exchange St, Middlebury, Vermont. You can contact this provider via phone number 8023883553 and fax number 8023887377. The mailing address for Middlebury Dental Group is 1330 Exchange St, Middlebury, Vermont. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Middlebury Dental Group |
---|---|
Address | 1330 Exchange St, Middlebury, Vermont |
Phone Number | 8023883553 |
Fax Number | 8023887377 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER/DENT |
---|---|
Authorized Official Name | Montgomery Roderick Kim |
Credentials | DMD |
Telephone Number | 8023883553 |
NPI Number Detail
NPI Number | 1851404271 |
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Provider Enumeration Date | 2006-08-17 |
Last Updated Date | 2010-01-05 |
Provider Mailing Address Detail
Address | 1330 Exchange St |
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City | Middlebury |
State | Vermont (VT) |
Post Code | 57534425 |
Phone Number | 8023883553 |
Fax Number | 8023887377 |
Provider's Primary Taxonomy Detail
Speciality | Periodontics |
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Taxonomy | 1223P0300X |
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identifier code assigned to Middlebury Dental Group by the Centers for Medicare & Medicaid Services?
The Middlebury Dental Group has been issued the NPI (National Provider Identifier) 1851404271 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Middlebury Dental Group?
The Middlebury Dental Group is situated at 1330 Exchange St, in the city of Middlebury, state of VT, with the zip code 57534425.
What is the Middlebury Dental Group's specialty and taxonomy code?
The Middlebury Dental Group's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date was the 1851404271 assigned to Middlebury Dental Group?
The Middlebury Dental Group was issued its 1851404271 on 2006-08-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Middlebury Dental Group most recently updated or revised?
The information pertaining to Middlebury Dental Group, including its address, specialty, and other relevant details, was last updated or revised on 2010-01-05.
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