Individual provider Active NPI

Bettina D Laidley, DMD

  • General Practice Dentistry
  • South Burlington, VT
National Provider Identifier
1154357572
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
165 Dorset Street
South Burlington, VT 05403
Phone
(802) 860-3368
Fax
(802) 860-3367
NPI assigned
Jun 25, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X VT Primary

Addresses

Primary practice location

165 Dorset Street
South Burlington, VT 05403

Mailing address

165 Dorset Street
South Burlington, VT 05403
Phone (802) 860-3368

Other identifiers 1

IdentifierTypeStateIssuer
0002394MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
016000713VTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154357572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 DORSET STREET",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "05403",
            "telephone_number": "802-860-3368",
            "fax_number": "802-860-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 DORSET STREET",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "05403",
            "telephone_number": "802-860-3368",
            "fax_number": "802-860-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIDLEY",
        "first_name": "BETTINA",
        "middle_name": "D",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002394",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.