Active NPI
Oral Care Dental Group
- Public Health Dentistry
- Milton, VT
National Provider Identifier
1750568101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 0160002213
- Legal business name
- ORAL CARE DENTAL GROUP
- Doing business as
- Milton Family Dentistry
- Practice address
- 157 River St
Milton, VT 05468-3607 - Phone
- (802) 893-4734
- Fax
- (802) 893-1406
- NPI assigned
- Jan 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Angelina Santa Maria
- Title
- Administrator
- Phone
- (802) 893-4734
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 0160002213 | VT | Primary |
Addresses
Primary practice location
157 River St
Milton, VT 05468-3607
Mailing address
157 River St
Milton, VT 05468-3607
Phone (802) 893-4734
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001886 | Medicaid | VT | |
| 1009136 | Medicaid | VT | |
| 1012294 | Medicaid | VT |
Other names 1
- Milton Family Dentistry
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201564800000",
"number": "1750568101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 RIVER ST",
"city": "MILTON",
"state": "VT",
"postal_code": "054683607",
"telephone_number": "802-893-4734",
"fax_number": "802-893-1406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 RIVER ST",
"city": "MILTON",
"state": "VT",
"postal_code": "054683607",
"telephone_number": "802-893-4734",
"fax_number": "802-893-1406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORAL CARE DENTAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-29",
"last_updated": "2008-01-29",
"status": "A",
"authorized_official_last_name": "SANTA MARIA",
"authorized_official_first_name": "ANGELINA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "802-893-4734",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Dental Public Health",
"state": "VT",
"license": "0160002213",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001886",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1009136",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012294",
"state": "VT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Milton Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Milton, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.