| West River Family Dental | |
|
74 Grafton Rd Townshend VT 05353-0262 | |
| (802) 365-4313 | |
| Not Available |
| Full Name | West River Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 74 Grafton Rd, Townshend, Vermont |
| Authorized Official Name and Position | Jared Vernon Rediske (DENTIST) |
| Authorized Official Contact | 8023654313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West River Family Dental 74 Grafton Road Po Box 262 Townshend VT 05353 Ph: (802) 365-4313 | West River Family Dental 74 Grafton Rd Townshend VT 05353-0262 Ph: (802) 365-4313 |
| NPI Number | 1568794295 |
|---|---|
| Provider Enumeration Date | 02/05/2010 |
| Last Update Date | 02/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568794295 | NPI | - | NPPES |
| 1013633 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0160002226 (Vermont) | Primary |