Organization Active NPI

Vermont Endodontics PLLC

  • Endodontics
  • Williston, VT
National Provider Identifier
1275648487
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
0160002071 Issued in VT
Legal business name
VERMONT ENDODONTICS PLLC
Practice address
75 Talcott Road
Suite 20
Williston, VT 05495
Phone
(802) 872-0300
Fax
(802) 872-0500
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lee Ann Petropulos Whelan, DMD
Title
Endodontist
Phone
(802) 872-0300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 0160002071 VT Primary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 0160002040 VT

Addresses

Primary practice location

75 Talcott Road
Suite 20
Williston, VT 05495

Mailing address

75 Talcott Road
Suite 20
Williston, VT 05495
Phone (802) 872-0300

National Provider Directory

National Provider Directory

Locations

75 Talcott Rd
Ste 20
Williston, VT 05495
Phone (802) 658-4777

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275648487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 TALCOTT ROAD",
            "address_2": "SUITE 20",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "05495",
            "telephone_number": "802-872-0300",
            "fax_number": "802-872-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 TALCOTT ROAD",
            "address_2": "SUITE 20",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "05495",
            "telephone_number": "802-872-0300",
            "fax_number": "802-872-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT ENDODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHELAN",
        "authorized_official_first_name": "LEE ANN",
        "authorized_official_middle_name": "PETROPULOS",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "802-872-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "VT",
            "license": "0160002071",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "VT",
            "license": "0160002040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.