| Myorthos Vermont Orthodontics Pc | |
| 
					277 Blair Park Rd Ste 101 Williston VT 05495-7885  | |
| (802) 878-5323 | |
| Not Available | 
| Full Name | Myorthos Vermont Orthodontics Pc | 
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics | 
| Location | 277 Blair Park Rd Ste 101, Williston, Vermont | 
| Authorized Official Name and Position | Casey Lonabocker (VP OPERATIONS & STRATEGY) | 
| Authorized Official Contact | 6175353364 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Myorthos Vermont Orthodontics Pc 131 Dartmouth St Fl 3 Boston MA 02116-5297 Ph: (617) 665-7241  | Myorthos Vermont Orthodontics Pc 277 Blair Park Rd Ste 101 Williston VT 05495-7885 Ph: (802) 878-5323  | 
| NPI Number | 1407620214 | 
|---|---|
| Provider Enumeration Date | 11/13/2023 | 
| Last Update Date | 11/20/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407620214 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary | 
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