| J. Scott Thompson, D.m.d., P.c. | |
|
173 West St Essex Jct VT 05452-4616 | |
| (802) 879-7811 | |
| (802) 879-7030 |
| Full Name | J. Scott Thompson, D.m.d., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 173 West St, Essex Jct, Vermont |
| Authorized Official Name and Position | John Scott Thompson (OWNER) |
| Authorized Official Contact | 8028797811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Scott Thompson, D.m.d., P.c. 173 West St Essex Jct VT 05452-4616 Ph: (802) 879-7811 | J. Scott Thompson, D.m.d., P.c. 173 West St Essex Jct VT 05452-4616 Ph: (802) 879-7811 |
| NPI Number | 1003973462 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003973462 | NPI | - | NPPES |
| 1002183 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 016-0001058 (Vermont) | Primary |
Paul Kenworthy Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Kellogg Rd, Essex Jct, VT 05452 Phone: 802-879-5151 Fax: 866-561-8426 |