| Northeast Kingdom Dental Group Pllc | |
|
49 W Church St Hardwick VT 05843-6001 | |
| (802) 472-5005 | |
| Not Available |
| Full Name | Northeast Kingdom Dental Group Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 49 W Church St, Hardwick, Vermont |
| Authorized Official Name and Position | Katie Krieter Piet (DENTIST) |
| Authorized Official Contact | 8024725005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Kingdom Dental Group Pllc Po Box 555 Hardwick VT 05843-0555 Ph: (802) 472-5005 | Northeast Kingdom Dental Group Pllc 49 W Church St Hardwick VT 05843-6001 Ph: (802) 472-5005 |
| NPI Number | 1801459680 |
|---|---|
| Provider Enumeration Date | 04/17/2019 |
| Last Update Date | 04/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801459680 | NPI | - | NPPES |
| 0 | Other | DO NOT HAVE ANY OTHER IDENTIFIERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Hardwick Dental Group P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 West Chruch Street, Hardwick, VT 05843 Phone: 802-472-5005 Fax: 802-472-3109 |