Middlebury Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MIDDLEBURY DENTAL GROUP

Practice address

1330 Exchange St
Middlebury, VT 05753-4425

Phone

(802) 388-3553

Fax

(802) 388-7377

NPI assigned

Aug 17, 2006

Last updated

Jan 5, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kim Roderick Montgomery, DMD

Title

Owner/Dentist

Phone

(802) 388-3553

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1851404271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 EXCHANGE ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057534425",
            "telephone_number": "802-388-3553",
            "fax_number": "802-388-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 EXCHANGE ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057534425",
            "telephone_number": "802-388-3553",
            "fax_number": "802-388-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLEBURY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "RODERICK",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "802-388-3553",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte R McGray, PSYD
• Kate Helen McIntosh, M.D.
• John M McPartland, DO
• Ava Menard
• Middlebury Acupuncture
• Middlebury Eye Associates Inc
• Middlebury Family Health
• Middlebury Foot Care, Inc.
• Middlebury Pediatric Dentistry, PLLC (Middlebury Pediatric Dentistry)
• Middlebury Physical Therapy PC

• General Practice Dentistry in Middlebury, VT
• Providers in Middlebury, VT by specialty
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.