Champlain Periodontal P.C. in South Burlington - Periodontics
Champlain Periodontal P.C. - NPI 1598884850
Champlain Periodontal P.C. is a Periodontics in South Burlington, Vermont. Champlain Periodontal P.C. practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Champlain Periodontal P.C. is 1598884850. The last update date is 2020-08-22.
Champlain Periodontal P.C.'s current location address is 37 Timber Ln, South Burlington, Vermont. You can contact this provider via phone number 8028621435. The mailing address for Champlain Periodontal P.C. is 37 Timber Ln, South Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Champlain Periodontal P.C. |
|---|---|
| Address | 37 Timber Ln, South Burlington, Vermont |
| Phone Number | 8028621435 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Huber D Brian |
| Credentials | D.M.D., M. |
| Telephone Number | 8028621435 |
NPI Number Detail
| NPI Number | 1598884850 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 37 Timber Ln |
|---|---|
| City | South Burlington |
| State | Vermont (VT) |
| Post Code | 54035201 |
| Phone Number | 8028621435 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 160002033 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1006633 | VT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Champlain Periodontal P.C. by the Centers for Medicare & Medicaid Services?
The Champlain Periodontal P.C. has been issued the NPI (National Provider Identifier) 1598884850 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Champlain Periodontal P.C.'s facilities are situated?
The facilities of Champlain Periodontal P.C. are physically located at the following address: 37 Timber Ln, South Burlington, VT, 54035201.
What is the Champlain Periodontal P.C.'s specialty and taxonomy code?
The Champlain Periodontal P.C.'s specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
When did the Champlain Periodontal P.C. receive its 1598884850?
The Champlain Periodontal P.C. was issued its 1598884850 on 2007-03-28, which is the date when the organization was assigned this unique identifier.
When was the information related to Champlain Periodontal P.C. most recently updated or refreshed?
The details pertaining to the Champlain Periodontal P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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