Organization Active NPI

Oral Care Dental Group

  • Public Health Dentistry
  • Milton, VT
National Provider Identifier
1750568101
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
0160002213 Issued in VT
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

Updated by the provider on Jan 29, 2008

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)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0001886MedicaidVT
1009136MedicaidVT
1012294MedicaidVT

Other names 1

  • Milton Family Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.