Active NPI
Milton Family Dentistry LLC
- General Practice Dentistry
- Milton, VT
National Provider Identifier
1497049746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0160002277
- Legal business name
- MILTON FAMILY DENTISTRY LLC
- Practice address
- 157 River St
Milton, VT 05468-3607 - Phone
- (802) 893-4734
- NPI assigned
- Jun 3, 2011
- Last updated
- Jun 24, 2011
- 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
- Dr. Cedric Charles Pecor, D.D.S.
- Title
- Dentist
- Phone
- (802) 999-6245
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0160000677 | VT | |
| General Practice Dentistry | 1223G0001X | 0160002140 | VT | |
| General Practice Dentistry | 1223G0001X | 0160002277 | VT | Primary |
Addresses
Primary practice location
157 River St
Milton, VT 05468-3607
Mailing address
157 River St
Milton, VT 05468-3607
Phone (802) 893-4734
National Provider Directory
National Provider DirectoryLocations
157 River St
Milton, VT 05468
Phone (802) 893-4734
Practitioners & affiliated clinicians
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.
-
- General Practice Dentistry
- Milton, VT
- NPI 1144484650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308873600000",
"number": "1497049746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 RIVER ST",
"city": "MILTON",
"state": "VT",
"postal_code": "054683607",
"telephone_number": "802-893-4734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 RIVER ST",
"city": "MILTON",
"state": "VT",
"postal_code": "054683607",
"telephone_number": "802-893-4734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILTON FAMILY DENTISTRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-03",
"last_updated": "2011-06-24",
"status": "A",
"authorized_official_last_name": "PECOR",
"authorized_official_first_name": "CEDRIC",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "802-999-6245",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VT",
"license": "0160000677",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VT",
"license": "0160002140",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VT",
"license": "0160002277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milton, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.