Colchester Dental Group
Organization Active NPI Dentist · Colchester, VT
NPI 1255734893 · NPPES record last updated Sep 26, 2014
Key facts
- NPI
- 1255734893
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 016.0094121 (VT)
- Legal business name
- COLCHESTER DENTAL GROUP
- Practice address
- 106 High Point Ctr Ste 100
Colchester, VT 05446-8800 - Phone
- (802) 655-5308
- NPI assigned
- Sep 26, 2014
- Organization subpart
- No
Authorized official
- Name
- Sarah Evans, DDS
- Title
- Dentist
- Phone
- (802) 309-4431
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Colchester Dental Group
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 016.0094121 | VT | Yes |
Addresses
Primary practice location
106 High Point Ctr Ste 100
Colchester, VT 05446-8800
Mailing address
106 High Point Ctr Ste 100
Colchester, VT 05446-8800
Phone (802) 655-5308
Other providers in Colchester, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2014. 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.