Heaton & Fisch Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HEATON & FISCH DENTAL ASSOCIATES

Practice address

204 N Main St
Rutland, VT 05701-2411

Phone

(802) 775-5286

Fax

(802) 775-2218

NPI assigned

Jan 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Judith M Fisch, DDSNPI 1114075249

Title

Owner

Phone

(802) 775-5286

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judith M Fisch, DDS

  • General Practice Dentistry
  • Rutland, VT
  • NPI 1114075249
  NPD (past) Authorized official
• David K Heaton, DDS

  • General Practice Dentistry
  • Rutland, VT
  • NPI 1487702510
  NPD (past)
• Aimee Elisabeth Delorenzo, DMD

  • General Practice Dentistry
  • Washington, DC
  • NPI 1902344997
  NPD (past)

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

{
    "created_epoch": "1168128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013065218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N MAIN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057012411",
            "telephone_number": "802-775-5286",
            "fax_number": "802-775-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N MAIN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057012411",
            "telephone_number": "802-775-5286",
            "fax_number": "802-775-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATON & FISCH DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISCH",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-775-5286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004586",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haven Health Center of Rutland, LLC
• Georgette Marie Haviland
• Levi Haviland
• Aaron Dale Hay, BC-HIS
• Brandy Joy Haymaker, FNP-BC
• David K Heaton, DDS
• Samantha Marie Helinski, APRN
• Deborah A Henley, MD
• Lisa Marie Henry
• Sonali A Herath, PA

• General Practice Dentistry in Rutland, VT
• Providers in Rutland, VT by specialty
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.