Windham County Dental Center Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WINDHAM COUNTY DENTAL CENTER INC

Practice address

375 Canal St
Brattleboro, VT 05301-6936

Phone

(802) 490-2923

Fax

(802) 246-1459

NPI assigned

Mar 18, 2019

Organization subpart

No

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

Authorized official

Name

Carmen J. Derby

Title

Executive Director

Phone

(802) 490-2923

Specialties & licenses 1

Addresses

Other names 2

• United Way of Windham Former legal business name
• Windham County Dental Center Other name

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1366901464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 CANAL STREET",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "05301",
            "telephone_number": "802-490-2923",
            "fax_number": "802-246-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 CANAL ST",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016936",
            "telephone_number": "802-490-2923",
            "fax_number": "802-246-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAM COUNTY DENTAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "DERBY",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "802-490-2923"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Way of Windham",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Windham County Dental Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Wilkens-McKee
• Michael Wilkes, DMD
• William Vranos M.D., Orhtopedics P.C.
• Martha Ann Wilmot
• Toller Wilson, DO
• Windham OB-GYN Associates, P.C.
• Windham Radiology Associates Inc
• Windham Southeast Supervisory Union
• Windham Wellness
• Windhorse Naturopathic Inc

• Dental Clinic/Center in Brattleboro, VT
• Providers in Brattleboro, 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 Aug 1, 2022; 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.