| Mary C Squire Dds Pc | |
|
3429 Richville Rd Manchester Ct VT 05255 | |
| (802) 366-9119 | |
| (802) 366-9099 |
| Full Name | Mary C Squire Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 3429 Richville Rd, Manchester Ct, Vermont |
| Authorized Official Name and Position | Mary C Squire (PRESIDENT) |
| Authorized Official Contact | 8023669119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary C Squire Dds Pc Po Box 1724 Manchester Center VT 05255 Ph: (802) 366-9119 | Mary C Squire Dds Pc 3429 Richville Rd Manchester Ct VT 05255 Ph: (802) 366-9119 |
| NPI Number | 1285858068 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285858068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 041234 (New York) | Secondary |
| 122300000X | Dentist | 1079 (Vermont) | Primary |