Brian Andrew Collins, DMD
Individual provider Active NPI Pediatric Dentistry · Middlebury, VT
NPI 1952895815 · NPPES record last updated Jul 21, 2020
Key facts
- NPI
- 1952895815
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 016.0133932 (VT)
- Practice address
- 132 S Village GRN
Middlebury, VT 05753-6900 - Phone
- (802) 388-0909
- NPI assigned
- Jun 14, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1858008 | MA | MD | Pediatric Dentist |
| 016.0133932 | VT | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middlebury Pediatric Dentistry, PLLC | Pediatric Dentistry | Current |
Accepting new patients |
Locations
132 S Village Grn
Middlebury, VT 05753
Phone (802) 388-0909
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN1858008 | MA | |
| Pediatric Dentistry | 1223P0221X | 016.0133932 | VT | Yes |
Addresses
Primary practice location
132 S Village GRN
Middlebury, VT 05753-6900
Mailing address
132 S Village GRN
Middlebury, VT 05753-6900
Phone (802) 388-0909
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6704285 | Medicaid | VT |
Other providers in Middlebury, VT
- Kathryn D Clark
- Carl Wade Cobb
- Patrice Peterson Colander
- Arthur Thompson Colley
- Kathleen Colligan Lowell
- Brian Darnell Collins
- Columbus Medical Services, LLC
- Columbus Medical Services, LLC
- Nancy Joyce Conant
- George Martin Connelly
All providers in Middlebury, VT · Pediatric 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 Jul 21, 2020. 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.