| Stowe Family Dentistry Pc | |
|
1593 Pucker St Stowe VT 05672-4579 | |
| (802) 253-4157 | |
| (802) 253-7025 |
| Full Name | Stowe Family Dentistry Pc |
|---|---|
| Speciality | Dentist |
| Location | 1593 Pucker St, Stowe, Vermont |
| Authorized Official Name and Position | John D. Hirce (OWNER/DOCTOR) |
| Authorized Official Contact | 8022534157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stowe Family Dentistry Pc 1593 Pucker St Stowe VT 05672-4579 Ph: (802) 253-4157 | Stowe Family Dentistry Pc 1593 Pucker St Stowe VT 05672-4579 Ph: (802) 253-4157 |
| NPI Number | 1245275122 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 03/27/2017 |
| Medicare PECOS PAC ID | 2062797590 |
|---|---|
| Medicare Enrollment ID | O20170324001874 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245275122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 480 (Vermont) | Primary |
| Provider Name | Christopher L Pazandak |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1205878717 PECOS PAC ID: 2264718253 Enrollment ID: I20170330000785 |
| Provider Name | John D Hirce |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1740592633 PECOS PAC ID: 4082990072 Enrollment ID: I20170330002321 |
| Provider Name | Jitka Matherly |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1386866366 PECOS PAC ID: 1355627340 Enrollment ID: I20170404000476 |
Vt Center For Dental Implants And Maxillofacial Surgery Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1009 S Main St Ste 1, Stowe, VT 05672 Phone: 802-253-2761 Fax: 802-655-9366 | |
Jeffrey R. Mckechnie, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Corner Of Rt. 100 And Rt. 108, Stowe, VT 05672 Phone: 802-253-7932 Fax: 802-253-6220 | |
Stowe Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Mountain Road, Stowe, VT 05672 Phone: 802-253-7932 Fax: 802-253-6220 |