Bennington Dental Center PC
Organization Active NPI General Practice Dentistry · Bennington, VT
NPI 1104100841 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1104100841
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 0160073365 (VT)
- Legal business name
- BENNINGTON DENTAL CENTER PC
- Practice address
- 219 River St
Bennington, VT 05201-1834 - Phone
- (802) 442-9500
- NPI assigned
- Sep 29, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Tyler J Carmack, DMD
- Title
- Owner
- Phone
- (802) 442-9500
Practitioners 2
-
Tyler Carmack, D.M.D.
-
Robert J Miller, D.D.S.
National Provider Directory
Locations
129 Elm St
Bennington, VT 05201
Phone (802) 379-9106
219 River St
Bennington, VT 05201
Phone (802) 442-9500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 0160073365 | VT | Yes |
Addresses
Primary practice location
219 River St
Bennington, VT 05201-1834
Mailing address
219 River St
Bennington, VT 05201-1834
Phone (802) 442-9500
Other practice location 1
129 Elm St
Bennington, VT 05201-2249
Phone (802) 442-9500
Other providers in Bennington, VT
- Bennington Cardiology PC
- Bennington Care Center, LLC
- Bennington College Corporation
- Bennington College Health Services
- Bennington College Psychological Services
- Bennington Family Practice PLLC
- Bennington General Surgery, PC
- Bennington Hands & Feet LLC Deborah a Henley Single MBR
- Bennington Health and Rehabilitation Center LLC
- Bennington Orthodontics PLLC
All providers in Bennington, 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 Mar 17, 2018. 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.