Bruce C. Latelle & Albert St..Amand DDS PTR
Organization Active NPI General Practice Dentistry · Burlington, VT
NPI 1063563732 · NPPES record last updated Jun 18, 2008
Key facts
- NPI
- 1063563732
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 534 (VT)
- Legal business name
- BRUCE C. LATELLE & ALBERT ST..AMAND DDS PTR
- Practice address
- 61 S Willard St
Burlington, VT 05401-3419 - Phone
- (802) 863-1315
- Fax
- (802) 651-9301
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Patty Sharrow
- Title
- Office Manager
- Phone
- (802) 863-1315
Corporate family (same tax ID) 1
Practitioners 2
-
Brad K Kline, DMD
-
Bruce Charles Latelle, D.D.S.
National Provider Directory
- Tax ID family
- Associates in Comprehensive Dental Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 534 | VT | Yes |
| General Practice Dentistry |
1223G0001X | 525 | VT |
Addresses
Primary practice location
61 S Willard St
Burlington, VT 05401-3419
Mailing address
61 S Willard St
Burlington, VT 05401-3419
Phone (802) 863-1315
Other names
- Associates In Comprehensive Dental Care
Other providers in Burlington, VT
- Lauren Odden Brown
- Stephen A. Brown
- Kathleen Browne
- Amanda D Brownell
- Seth Brownstein
- Robert Bruce
- Sehar Laljee Bruce
- Gregg L Brueck
- John Robert Brumsted
- William John Brundage
All providers in Burlington, VT · General Practice Dentistry in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.