Peter Myles Woolhouse
Individual provider
Active NPI
Dentist · Richford, VT
NPI 1831170943 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1831170943
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 016-0002132 (VT)
- Practice address
- 53 Main St
Richford, VT 05476-1151
- Phone
- (802) 848-3829
- Fax
- (802) 848-7554
- NPI assigned
- Nov 7, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| I20150618002026 |
VT |
Order and Referring Only - Dentist
Practitioner - Dentist |
7214248103 |
|
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|
| 016-0002132 | VT | MD | Dentist |
Practice roles
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Dentist |
122300000X |
016-0002132 |
VT |
Yes |
Addresses
Primary practice location
53 Main St
Richford, VT 05476-1151
Mailing address
440 Green Mountain Road
Montgomery, VT 05470
Phone (514) 932-5954
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 1008570 | Medicaid | VT | |
Other names
- Mr. Peter Myles Woolhouse Other name