| Associates In Periodontics, Plc | |
|
247 Pearl St Suite 2 Burlington VT 05401-8572 | |
| (802) 863-5447 | |
| Not Available |
| Full Name | Associates In Periodontics, Plc |
|---|---|
| Speciality | Dentist |
| Location | 247 Pearl St, Burlington, Vermont |
| Authorized Official Name and Position | Brian D. Shuman (OFFICER) |
| Authorized Official Contact | 8028635447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates In Periodontics, Plc 247 Pearl St Burlington VT 05401-8572 Ph: (802) 863-5447 | Associates In Periodontics, Plc 247 Pearl St Suite 2 Burlington VT 05401-8572 Ph: (802) 863-5447 |
| NPI Number | 1689619074 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 06/03/2009 |
| Medicare PECOS PAC ID | 5294891586 |
|---|---|
| Medicare Enrollment ID | O20090312000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689619074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 016-00981 (Vermont) | Primary |
| Provider Name | Brian D Shuman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1659376465 PECOS PAC ID: 0749226116 Enrollment ID: I20050707000498 |
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