| Woodstock Dental Group Plc | |
|
217-10 Maxham Meadow Way Woodstock VT 05091-9795 | |
| (781) 562-3442 | |
| Not Available |
| Full Name | Woodstock Dental Group Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 217-10 Maxham Meadow Way, Woodstock, Vermont |
| Authorized Official Name and Position | Richard T Miller (OWNER) |
| Authorized Official Contact | 7815623442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodstock Dental Group Plc 500 Chapman St Unit 101 Canton MA 02021-2040 Ph: (781) 562-3442 | Woodstock Dental Group Plc 217-10 Maxham Meadow Way Woodstock VT 05091-9795 Ph: (781) 562-3442 |
| NPI Number | 1407584071 |
|---|---|
| Provider Enumeration Date | 08/11/2022 |
| Last Update Date | 08/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407584071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Jedidiah L Janisse Dmd And Associates, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 Maxham Meadow Way # 10, Suite 4c, Woodstock, VT 05091 Phone: 802-457-1903 Fax: 802-457-3619 | |
Mark D Knott, Dds, Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Pleasant St, Woodstock, VT 05091 Phone: 802-457-2922 Fax: 802-457-1835 |