Bruce C Latelle & Albert St.Amand DDS PTR
Organization Active NPI General Practice Dentistry · Williston, VT
NPI 1831241215 · NPPES record last updated Jun 18, 2008
Key facts
- NPI
- 1831241215
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 534 (VT)
- Legal business name
- BRUCE C LATELLE & ALBERT ST.AMAND DDS PTR
- Practice address
- 25 Bishop Ave
Williston, VT 05495-7871 - Phone
- (802) 878-1170
- Fax
- (802) 879-7139
- NPI assigned
- Jan 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Bruce C Latelle
- Title
- Docotor
- Phone
- (802) 878-1170
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Associates in Comprehensive Dental Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 534 | VT | Yes |
| General Practice Dentistry |
1223G0001X | 525 | VT |
Addresses
Primary practice location
25 Bishop Ave
Williston, VT 05495-7871
Mailing address
25 Bishop Ave
Williston, VT 05495-7871
Phone (802) 878-1170
Other names
- associates in comprehensive dental care
Other providers in Williston, VT
- Brightstar ABA Solutions
- Dorothy Ann Brodmann
- Emelia Parker Brogna
- Rebecca Brooklyn
- Devon Amanda Brownlee
- Kathleen B Bruce
- Kathryn C Bruch
- Victoria Bruner
- Colleen Duffy Bruns
- Brian Bruyns
All providers in Williston, VT · General Practice Dentistry in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.