| 1st Advantage Dental | |
|
80 Flat St Suite 101 Brattleboro VT 05301-3272 | |
| (802) 254-6634 | |
| (802) 254-9234 |
| Full Name | 1st Advantage Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 80 Flat St, Brattleboro, Vermont |
| Authorized Official Name and Position | G Stephen Knoll (PRESIDENT) |
| Authorized Official Contact | 5185873831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1st Advantage Dental 6 Executive Park Dr Suite C Clifton Park NY 12065-5601 Ph: (518) 348-0240 | 1st Advantage Dental 80 Flat St Suite 101 Brattleboro VT 05301-3272 Ph: (802) 254-6634 |
| NPI Number | 1023151982 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 01/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023151982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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