NPIMap

Organization Active NPI

Enosburg Family Dental

  • General Practice Dentistry
  • Enosburg Falls, VT
National Provider Identifier
1619896834
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ENOSBURG FAMILY DENTAL
Practice address
84 Water Tower Rd Ste 2
Enosburg Falls, VT 05450-6097
Phone
(802) 933-8316
NPI assigned
Jul 13, 2026
Last updated
Jul 14, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
VERMONT FAMILY DENTAL PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Jessica Bordeaux
Title
VP of Operations
Phone
(802) 933-8316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

84 Water Tower Rd Ste 2
Enosburg Falls, VT 05450-6097

Mailing address

84 Water Tower Rd Ste 2
Enosburg Falls, VT 05450-6097
Phone (802) 933-8316

National Provider Directory

National Provider Directory
Tax ID family
Enosburg Family Dental7 organizations share this tax ID, including this one
Part of
Enosburg Family Dental

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

84 Water Tower Rd
#2
Enosburg Falls, VT 05450
Phone (802) 933-8316

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.

NPI Registry JSON

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1619896834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 WATER TOWER RD STE 2",
            "city": "ENOSBURG FALLS",
            "state": "VT",
            "postal_code": "054506097",
            "telephone_number": "802-933-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 WATER TOWER RD STE 2",
            "city": "ENOSBURG FALLS",
            "state": "VT",
            "postal_code": "054506097",
            "telephone_number": "802-933-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENOSBURG FAMILY DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VERMONT FAMILY DENTAL PLC",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "BORDEAUX",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "802-933-8316"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enosburg Falls, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.