| B And J Dental | |
| 
					77 S Main St Ste 3 Waterbury VT 05676-1523  | |
| (802) 244-6366 | |
| Not Available | 
| Full Name | B And J Dental | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 77 S Main St Ste 3, Waterbury, Vermont | 
| Authorized Official Name and Position | Katherine Powell (DENTIST) | 
| Authorized Official Contact | 8022446366 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| B And J Dental 77 S Main St Ste 3 Waterbury VT 05676-1523 Ph: (802) 244-6366  | B And J Dental 77 S Main St Ste 3 Waterbury VT 05676-1523 Ph: (802) 244-6366  | 
| NPI Number | 1932872181 | 
|---|---|
| Provider Enumeration Date | 07/25/2021 | 
| Last Update Date | 07/25/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1932872181 | NPI | - | NPPES | 
| 1881080414 | Medicaid | VT | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
Waterbury Family Dentistry, Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 S. Main St., Suite 3, Waterbury, VT 05676 Phone: 802-244-6366 Fax: 802-244-8514  | |
Mount Mansfield Dentistry Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 S Main St, Suite 3, Waterbury, VT 05676 Phone: 802-244-6366  |