Active NPI
Brandon Family Dentistry
- Dental Clinic/Center
- Brandon, VT
National Provider Identifier
1770064388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- BRANDON FAMILY DENTISTRY
- Practice address
- 5 Carver St
Brandon, VT 05733-1103 - Phone
- (802) 247-3314
- NPI assigned
- Aug 22, 2018
- Last updated
- Aug 22, 2018
- 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
- Dr. Derek Snare, DMD
- Title
- Owner
- Phone
- (802) 417-5526
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
5 Carver St
Brandon, VT 05733-1103
Mailing address
5 Carver St
Brandon, VT 05733-1103
Phone (802) 247-3314
National Provider Directory
National Provider DirectoryLocations
5 Carver St
Brandon, VT 05733
Phone (802) 247-3314
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Brandon, VT
- NPI 1568586667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534896000000",
"number": "1770064388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 CARVER ST",
"city": "BRANDON",
"state": "VT",
"postal_code": "057331103",
"telephone_number": "802-247-3314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 CARVER ST",
"city": "BRANDON",
"state": "VT",
"postal_code": "057331103",
"telephone_number": "802-247-3314"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRANDON FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-22",
"last_updated": "2018-08-22",
"status": "A",
"authorized_official_last_name": "SNARE",
"authorized_official_first_name": "DEREK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "802-417-5526",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.