David Don Hassebroek, DDS
Individual provider Active NPI General Practice Dentistry · Castleton, VT
NPI 1265572010 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1265572010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 917 (VT)
- Practice address
- RT. 30 Castleton Four Corners
Castleton, VT 05735-0417 - Phone
- (802) 468-5478
- Fax
- (802) 468-3261
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 917 | VT | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 917 | VT | Yes |
Addresses
Primary practice location
RT. 30 Castleton Four Corners
Castleton, VT 05735-0417
Mailing address
PO Box 417
Castleton, VT 05735-0417
Phone (802) 468-5478
Other providers in Castleton, VT
- Paul E Diekel
- Dorina Kramer. DDS
- Michael Patrick Finnegan
- John Michael Hamme
- Tammy Harte
- Dylan Robert Hedler
- Jonathan E Mason DMD PC
- Corey Justin Lacz
- Lakes Region Healthcare
- Lesliegrace Property & Development, Inc
All providers in Castleton, 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 Jul 8, 2007. 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.