Active NPI
Woodstock Dental Group PLC
- General Practice Dentistry
- Woodstock, VT
National Provider Identifier
1407584071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- WOODSTOCK DENTAL GROUP PLC
- Practice address
- 217-10 Maxham Meadow Way
Woodstock, VT 05091-9795 - Phone
- (781) 562-3442
- NPI assigned
- Aug 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard T Miller, DMD
- Title
- Owner
- Phone
- (781) 562-3442
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
217-10 Maxham Meadow Way
Woodstock, VT 05091-9795
Mailing address
500 Chapman St Unit 101
Canton, MA 02021-2040
Phone (781) 562-3442
National Provider Directory
National Provider DirectoryLocations
500 Chapman St
Unit 101
Canton, MA 02021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660176000000",
"number": "1407584071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CHAPMAN ST UNIT 101",
"city": "CANTON",
"state": "MA",
"postal_code": "020212040",
"telephone_number": "781-562-3442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217-10 MAXHAM MEADOW WAY",
"city": "WOODSTOCK",
"state": "VT",
"postal_code": "050919795",
"telephone_number": "781-562-3442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODSTOCK DENTAL GROUP PLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-11",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "781-562-3442",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.