Rutland Dental Care, PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RUTLAND DENTAL CARE, PLC

Practice address

135 N Main St
Rutland, VT 05701-3238

Phone

(802) 770-1730

NPI assigned

Sep 3, 2019

Organization subpart

No

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

Authorized official

Name

Jessica Bordeaux

Title

Operations Manager

Phone

(802) 310-0838

Specialties & licenses 1

Addresses

Practitioners 1

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

• Diego Barboza M Limoeiro, DDSDS

  • Dentist
  • Rutland, VT
  • NPI 1366024275
  NPD

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1730737685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SPRINGHOUSE RD",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037400",
            "telephone_number": "802-238-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N MAIN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013238",
            "telephone_number": "802-770-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTLAND DENTAL CARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "BORDEAUX",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "802-310-0838"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rutland City School District
• Rutland Community Programs, Inc
• Rutland Community Programs, Inc
• Rutland County Parent Child Center
• Rutland Crossings LLC
• Rutland Eye Physicians, LLC
• Rutland Family Care, LLC
• Rutland Family Dental, PLC
• Rutland Health and Rehab Center
• Rutland Hospital, Inc

• All providers in Rutland, VT
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.