| Green Mountain Dental, Plc | |
|
118 Tilley Dr Ste 101 South Burlington VT 05403-4450 | |
| (802) 863-3950 | |
| (802) 863-6013 |
| Full Name | Green Mountain Dental, Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 118 Tilley Dr Ste 101, South Burlington, Vermont |
| Authorized Official Name and Position | Tyler Aten (OWNER/PRINCIPAL) |
| Authorized Official Contact | 8028633950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Mountain Dental, Plc 118 Tilley Dr Ste 101 South Burlington VT 05403-4450 Ph: (802) 863-3950 | Green Mountain Dental, Plc 118 Tilley Dr Ste 101 South Burlington VT 05403-4450 Ph: (802) 863-3950 |
| NPI Number | 1811404619 |
|---|---|
| Provider Enumeration Date | 01/03/2018 |
| Last Update Date | 01/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811404619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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