Candid Vermont, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

CANDID VERMONT, PLLC

Practice address

145 Pine Haven Shores Rd Ste 1000O
Shelburne, VT 05482-7812

Phone

(860) 481-7631

NPI assigned

Sep 23, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard D'Avanzo

Title

DDS

Phone

(860) 481-7631

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1003423112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 PINE HAVEN SHORES RD STE 1000O",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827812",
            "telephone_number": "860-481-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PINE HAVEN SHORES RD STE 1000O",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827812",
            "telephone_number": "860-481-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDID VERMONT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "D'AVANZO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "860-481-7631"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen James Brandon, D.C.
• Brian Tobin, Lcmhc, LLC
• Bridges Healthcare LLC
• Suzanne Brubaker
• Karen H Burke, M.D.
• Paul Louis Candido, PH.D.
• Carina Antonino Dimare, Ms, PLC
• Champlain Center for Natural Medicine
• Champlain Valley School District
• Philippe Charlebois, D.M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Shelburne, VT
• Providers in Shelburne, VT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.