Champlain Dental Group, LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHAMPLAIN DENTAL GROUP, LTD

Practice address

150 Dorset St
Suite 260
South Burlington, VT 05403-6256

Phone

(802) 863-5335

Fax

(802) 863-9087

NPI assigned

Apr 12, 2007

Last updated

Aug 22, 2020By 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

Mrs. Jennifer Templeton

Title

Practice Manager

Phone

(802) 863-5335

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert B Boyd, DDS

  • General Practice Dentistry
  • South Burlington, VT
  • NPI 1447474580
  NPD (past)
• Adam Linwood Holt, D.M.D.

  • General Practice Dentistry
  • Roanoke, VA
  • NPI 1326364357
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891919924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DORSET ST",
            "address_2": "SUITE 260",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036256",
            "telephone_number": "802-863-5335",
            "fax_number": "802-863-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DORSET ST",
            "address_2": "SUITE 260",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036256",
            "telephone_number": "802-863-5335",
            "fax_number": "802-863-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPLAIN DENTAL GROUP, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEMPLETON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "802-863-5335",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003294",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Cerreta, MS, RD, CD
• CFC Incorporated
• CH MH Services (VT), LLC (Charlie Health)
• Bruce Jeffrey Chalmer, PH.D.
• Francis Chamberlain, LADC
• Champlain Eye and Vision PLLC
• Champlain Periodontal P.C.
• Champlain Smile Solutions, PLLC
• Champlain Valley Cardiovascular Associates, PC
• Champlain Valley Neurology

• General Practice Dentistry in South Burlington, VT
• Providers in South Burlington, 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 Aug 22, 2020; 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.