Bruce Charles Latelle, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

534 Issued in VT

Practice address

61 South Willard St
Burlington, VT 05401

Phone

(802) 863-1315

Fax

(802) 651-9301

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amazing Smiles Dental

  • General Practice Dentistry
  • Burlington, VT
  • NPI 1376356758
  NPD (past)
• Bruce C. Latelle & Albert St..Amand DDS PTR

  • General Practice Dentistry
  • Burlington, VT
  • NPI 1063563732
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528079811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 S WILLARD ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013419",
            "telephone_number": "802-863-1315",
            "fax_number": "802-651-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 SOUTH WILLARD ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "05401",
            "telephone_number": "802-863-1315",
            "fax_number": "802-651-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATELLE",
        "first_name": "BRUCE",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Larson
• James R Lasaponara, D.D.S.
• Steven Mark Lasker, MD
• Meghan Laskowski, LICSW, LADC
• Jefferson Last
• Nancy Coalter Lathrop, MD
• Michael William Latreille, MD
• CHI CHI Lau, M.D.
• Donald R. Laub Jr., M.D.
• Sharon Laub, CRNA

• General Practice Dentistry in Burlington, VT
• Providers in Burlington, 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 Jul 8, 2007; 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.