Williston Road Family Dental , PLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0160002103 Issued in VT

Legal business name

WILLISTON ROAD FAMILY DENTAL , PLC

Practice address

1340 Williston Rd
South Burlington, VT 05403-6469

Phone

(802) 863-0505

NPI assigned

Mar 5, 2012

Organization subpart

No

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

Authorized official

Name

Dan Melo, DMD

Title

Owner/Dentist

Phone

(802) 863-0505

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Aerwen E Stagers

  • General Practice Dentistry
  • S Burlington, VT
  • NPI 1962726935
  NPD (past)
• Michael Lawrence Ziegler, D.M.D.

  • General Practice Dentistry
  • South Burlington, VT
  • NPI 1558459974
  NPD (past)

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1063786374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 WILLISTON RD",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036469",
            "telephone_number": "802-863-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 WILLISTON RD",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036469",
            "telephone_number": "802-863-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLISTON ROAD FAMILY DENTAL , PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "MELO",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "802-863-0505",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VT",
            "license": "0160002103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark E Williams, LCMHC
• Misty L Williams, MAC
• Olivia Williams
• Erik Willis
• Lindsey Willis, LICSW
• Hiroko Wilson
• Wind River Therapy, LLC
• Delight A Wing, M.D.
• Joseph F Winget, M.D.
• Peyton Wingfield, APRN FNP

• Dental Clinic/Center in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Dental Clinic/Center in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.