NPIMap

Organization Active NPI

Dennis E. Leblanc, D.D.S.

  • Dentist
  • Derby, VT
National Provider Identifier
1669547576
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
687 Issued in VT
Legal business name
DENNIS E. LEBLANC, D.D.S.
Practice address
296 Main St.
Derby, VT 05829
Phone
(802) 766-4711
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cynthia Leblanc
Title
Office Manager
Phone
(802) 766-4711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 687 VT Primary

Addresses

Primary practice location

296 Main St.
Derby, VT 05829

Mailing address

296 Main St.
Derby, VT 05829

Other identifiers 1

IdentifierTypeStateIssuer
000-4749MedicaidVT

National Provider Directory

National Provider Directory

Locations

296 Main St
Derby, VT 05829
Phone (802) 766-4711

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669547576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 MAIN ST.",
            "city": "DERBY",
            "state": "VT",
            "postal_code": "05829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 MAIN ST.",
            "city": "DERBY",
            "state": "VT",
            "postal_code": "05829",
            "telephone_number": "802-766-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS E. LEBLANC, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "802-766-4711"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VT",
            "license": "687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000-4749",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.