Active NPI
Lynn Duboff, DMD
- Dentist
- Rutland, VT
National Provider Identifier
1790969582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 016-0002241
- Practice address
- 240 Stratton Rd
Rutland, VT 05701-4623 - Phone
- (802) 775-6981
- Fax
- (802) 775-1707
- NPI assigned
- Dec 28, 2007
- Last updated
- Jan 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 016-0002241 | VT | Primary |
Addresses
Primary practice location
240 Stratton Rd
Rutland, VT 05701-4623
Mailing address
68 Blue Ridge Rd
Chittenden, VT 05737-9831
Phone (802) 775-6981
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016-0002241 | VT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1790969582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 BLUE RIDGE RD",
"city": "CHITTENDEN",
"state": "VT",
"postal_code": "057379831",
"telephone_number": "802-775-6981",
"fax_number": "802-775-1707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 STRATTON RD",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014623",
"telephone_number": "802-775-6981",
"fax_number": "802-775-1707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOFF",
"first_name": "LYNN",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-28",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VT",
"license": "016-0002241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.