Francis Caron-Roy, DMD
Individual provider Active NPI Dentist · Newport, VT
NPI 1497410393 · NPPES record last updated Nov 4, 2021
Key facts
- NPI
- 1497410393
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 016.0134041 (VT)
- Practice address
- 212 Prouty Dr
Newport, VT 05855-9851 - Phone
- (802) 334-6965
- NPI assigned
- Nov 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016.0134041 | VT | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 016.0134041 | VT | Yes |
Addresses
Primary practice location
212 Prouty Dr
Newport, VT 05855-9851
Mailing address
212 Prouty Dr
Newport, VT 05855-9851
Other providers in Newport, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.