Ac Dental Care, Inc. Dba Red Clover Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AC DENTAL CARE, INC. DBA RED CLOVER FAMILY DENTISTRY

Practice address

61 Pine St
Building 4
Bristol, VT 05443-1043

Phone

(802) 453-3911

Fax

(802) 329-2358

NPI assigned

Feb 4, 2014

Last updated

Feb 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leslie Hills

Title

Treasurer

Phone

(802) 238-7921

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1194149641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 PINE ST",
            "address_2": "BUILDING 4",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "054431043",
            "telephone_number": "802-453-3911",
            "fax_number": "802-329-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 PINE ST",
            "address_2": "BUILDING 4",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "054431043",
            "telephone_number": "802-453-3911",
            "fax_number": "802-329-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AC DENTAL CARE, INC. DBA RED CLOVER FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "HILLS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "802-238-7921"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed Moeeduddin Ahmed, BDS, MDS
• Mary Colleen Anderson, DDS
• Brian D. Bates, MD
• Charles A Biss, LICSW
• Body and Mind Physical Therapy, PLC (Bristol Physical Therapy)

• Dental Clinic/Center in Bristol, VT
• Providers in Bristol, 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 Feb 4, 2014; 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.