| James V. Wyllie, Dds P.c. | |
| 
					212 Prouty Dr Suite 1 Newport VT 05855-9851  | |
| (802) 334-6965 | |
| (802) 334-6606 | 
| Full Name | James V. Wyllie, Dds P.c. | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 212 Prouty Dr, Newport, Vermont | 
| Authorized Official Name and Position | James Vincent Wyllie (OWNER) | 
| Authorized Official Contact | 8023346965 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| James V. Wyllie, Dds P.c. 212 Prouty Dr Suite 1 Newport VT 05855-9851 Ph: (802) 334-6965  | James V. Wyllie, Dds P.c. 212 Prouty Dr Suite 1 Newport VT 05855-9851 Ph: (802) 334-6965  | 
| NPI Number | 1760695597 | 
|---|---|
| Provider Enumeration Date | 05/08/2007 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1760695597 | NPI | - | NPPES | 
| 000-1845 | Medicaid | VT | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 652 (Vermont) | Primary | 
Vermont Family Dental Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 494 Highland Ave, Newport, VT 05855 Phone: 802-334-1400  | |
Newport Family Dental, Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 494 Highland Ave, Newport, VT 05855 Phone: 802-334-1400  | |
Donald D Dahlin Dds Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 83 2nd St, Newport, VT 05855 Phone: 802-334-6766 Fax: 802-334-2479  |