Amanda Lynn Munger, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0130277 Issued in VT

Practice address

PO Box 425
Island Pond, VT 05846-0425

Phone

(802) 723-4300

NPI assigned

Jun 2, 2017

Last updated

Jun 2, 2017By the provider in NPPES

Sex

Female

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northern Counties HLTH Care Inc

  dba Island Pond Health Center

  • Non-Pharmacy Dispensing Site
  • Island Pond, VT
  • NPI 1144421322
  NPD (past)
• Northern Counties HLTH Care Inc

  dba Island Pond Health Center

  • Clinic Pharmacy
  • Island Pond, VT
  • NPI 1730101312
  NPD (past)

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496361600000",
    "number": "1740718790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 INKHORN BROOK RD",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624091",
            "telephone_number": "207-479-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 425",
            "city": "ISLAND POND",
            "state": "VT",
            "postal_code": "058460425",
            "telephone_number": "802-723-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGER",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2017-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "0130277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June V. Goodband
• Peter Harris, MD
• Tina Heck, NP
• Daniel Keller, DDS
• James L Lontine, PA
• Northern Counties Health Care, Inc. (Island Pond Health & Dental Center)
• Northern Counties HLTH Care Inc (Island Pond Health Center)
• Northern Counties HLTH Care Inc (Island Pond Health Center)
• Yesenia Noyola
• Marc I Parenteau, DMD

• General Practice Dentistry in Island Pond, VT
• Providers in Island Pond, 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 Jun 2, 2017; 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.