Bristol Park Dental Associates PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRISTOL PARK DENTAL ASSOCIATES PLC

Practice address

6 Park PL
Bristol, VT 05443-1229

Phone

(802) 453-7700

Fax

(802) 453-7748

NPI assigned

Oct 28, 2019

Last updated

Oct 28, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Farid Hamidzadeh, DMDNPI 1477800738

Title

Dentist/Owner

Phone

(802) 453-7700

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Farid Hamidzadeh, D.M.D, M.S.

  • Dentist
  • Bristol, VT
  • NPI 1477800738
  Authorized official Same address or phone

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1437792983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PARK PL",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "054431229",
            "telephone_number": "802-453-7700",
            "fax_number": "802-453-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PARK PL",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "054431229",
            "telephone_number": "802-453-7700",
            "fax_number": "802-453-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL PARK DENTAL ASSOCIATES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "HAMIDZADEH",
        "authorized_official_first_name": "FARID",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "802-453-7700",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles A Biss, LICSW
• Body and Mind Physical Therapy, PLC (Bristol Physical Therapy)
• Marian Ruth Bouchard, MD
• Renee Bratspis, M.D.
• Bristol Internal Medicine, PC
• Bristol Rescue Squad, Inc.
• Teresa Marie Burns
• Chiropractic Health & Wellness PC
• Clark Physical Therapy & Bodywork, PLC
• Charles Edward Clark, MD

• General Practice Dentistry in Bristol, VT
• Providers in Bristol, VT by specialty
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.