Stratton Dental Arts

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0160073365 Issued in VT

Legal business name

STRATTON DENTAL ARTS

Practice address

163 Stratton Rd
Rutland, VT 05701-4619

Phone

(802) 442-9500

NPI assigned

Jul 31, 2018

Organization subpart

No

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

Authorized official

Name

Tyler J Carmack, D.M.D.

Title

Owner/Operator

Phone

(802) 442-9500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1861970006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 STRATTON RD",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014619",
            "telephone_number": "802-442-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 STRATTON RD",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014619",
            "telephone_number": "802-442-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATTON DENTAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "CARMACK",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "802-442-9500",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VT",
            "license": "0160073365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "701100805",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark C Stickney, M.D.
• Facundo Eduardo Stingo, M.D.
• Sherilynn Stofka, DDS
• Cynthia L Stone, LICSW
• Jeffrey Stone, PHARMD
• Stephen Stratton, LCMHC
• Jaclyn Strohmeyer, OTR/L
• Christopher Stronczak, MD
• Elana Svoren, M.D.
• Christina Ruth Sweet, RDH

• Dental Clinic/Center in Rutland, VT
• Providers in Rutland, VT by specialty
• Dental Clinic/Center in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.