Acdcdds, PC

Organization Active NPI General Practice Dentistry · Williston, VT

NPI 1124454145 · NPPES record last updated Sep 24, 2013

Key facts

NPI
1124454145
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
0160088849 (VT)
Legal business name
ACDCDDS, PC
Practice address
25 Bishop Ave
Williston, VT 05495-7871
Phone
(802) 878-1170
Fax
(802) 872-7139
NPI assigned
Sep 23, 2013
Organization subpart
No

Authorized official

Name
Dr. Roni Golden, DMD
Title
Dentist
Phone
(802) 878-1170

Corporate family (same tax ID) 1

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

National Provider Directory

Tax ID family
Acdcdds PC (2 organizations share this tax ID)

Locations

25 Bishop Ave
Williston, VT 05495
Phone (802) 878-1170

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223G0001X 0160088849 VT Yes
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223G0001X 0160000525 VT
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223G0001X 0160000534 VT

Addresses

Primary practice location

25 Bishop Ave
Williston, VT 05495-7871

Mailing address

25 Bishop Ave
PO Box 1277
Williston, VT 05495-7871
Phone (802) 878-1170

Other providers in Williston, VT

All providers in Williston, VT · General Practice Dentistry in Vermont

Sources for this page

Verify at the official NPI Registry.