Organization Active NPI

Vermont Dental Care

  • General Practice Dentistry
  • Winooski, VT
National Provider Identifier
1033247705
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VERMONT DENTAL CARE
Practice address
32 B Malletts Bay Avenue
Winooski, VT 05404-1960
Phone
(802) 655-8822
Fax
(802) 655-4242
NPI assigned
Mar 2, 2007
Organization subpart
Yes
Parent organization
VERMONT DENTAL CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Mr. Charles Seleen
Title
Director
Phone
(802) 655-8822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

32 B Malletts Bay Avenue
Winooski, VT 05404-1960

Mailing address

32 B Malletts Bay Avenue
Winooski, VT 05404-1960
Phone (802) 655-8822

National Provider Directory

National Provider Directory
Tax ID family
Winooski Dental Health2 organizations share this tax ID, including this one
Part of
Winooski Dental Health

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1033247705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 B MALLETTS BAY AVENUE",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054041960",
            "telephone_number": "802-655-8822",
            "fax_number": "802-655-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 B MALLETTS BAY AVENUE",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054041960",
            "telephone_number": "802-655-8822",
            "fax_number": "802-655-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT DENTAL CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VERMONT DENTAL CARE",
        "enumeration_date": "2007-03-02",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "SELEEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "802-655-8822",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winooski, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.