| Champlain Dental Group, Ltd | |
|
150 Dorset St Suite 260 South Burlington VT 05403-6256 | |
| (802) 863-5335 | |
| (802) 863-9087 |
| Full Name | Champlain Dental Group, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 150 Dorset St, South Burlington, Vermont |
| Authorized Official Name and Position | Jennifer Templeton (PRACTICE MANAGER) |
| Authorized Official Contact | 8028635335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Champlain Dental Group, Ltd 150 Dorset St Suite 260 South Burlington VT 05403-6256 Ph: (802) 863-5335 | Champlain Dental Group, Ltd 150 Dorset St Suite 260 South Burlington VT 05403-6256 Ph: (802) 863-5335 |
| NPI Number | 1891919924 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891919924 | NPI | - | NPPES |
| 1003294 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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