| Golden 246 North Main Pllc | |
|
25 Bishop Ave Wiliston VT 05495 | |
| (802) 878-1170 | |
| Not Available |
| Full Name | Golden 246 North Main Pllc |
|---|---|
| Speciality | Dentist |
| Location | 25 Bishop Ave, Wiliston, Vermont |
| Authorized Official Name and Position | Roni Golden (OWNER) |
| Authorized Official Contact | 8028781170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden 246 North Main Pllc Po Box 1277 25 Bishop Ave Williston VT 05495-1277 Ph: (802) 878-1170 | Golden 246 North Main Pllc 25 Bishop Ave Wiliston VT 05495 Ph: (802) 878-1170 |
| NPI Number | 1669825659 |
|---|---|
| Provider Enumeration Date | 07/14/2016 |
| Last Update Date | 07/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669825659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0160088849 (Vermont) | Secondary |
| 122300000X | Dentist | 0160120271 (Vermont) | Primary |
Acdcdds,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Bishop Ave, Wiliston, VT 05495 Phone: 802-878-1170 |