THE DENTAL CENTER AT COMMUNITY HEALTH CENTER OF BURLINGTON (NPI# 1053460907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053460907 |
Entity Type | Organization |
Organization Name | THE DENTAL CENTER AT COMMUNITY HEALTH CENTER OF BURLINGTON |
Practice Address |
617 Riverside Ave Burlington VT 05401-1601 |
Practice Telephone | 8028646309 |
Practice Fax Number | 8028604324 |
Mailing Telephone | 8028646309 |
Mailing Fax Number | 8028604324 |
Enumeration Date | 2007-01-09 |
Last Update Date | 2015-11-06 |
Authorized Official Name | DIANA GREENOUGH (DIRECTOR) |
Authorized Official Telephone | 8028646309 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VT | 0001692 | 05 |
Street Address |
617 RIVERSIDE AVE |
City | BURLINGTON |
State | VT |
Zip Code | 05401-1601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689678963 | Community Health Centers of Burlington Inc | Family Medicine | 617 Riverside Ave, Burlington, VT 05401-1601 | 2005-06-02 |
1225652571 | Rachel Ivancie | Registered Nurse | 617 Riverside Ave, Burlington, VT 05401-1601 | 2020-06-02 |
1588295315 | Emily-anne Sanders Garcia | Social Worker | 617 Riverside Ave, Burlington, VT 05401-1601 | 2020-01-30 |
1992336234 | Stephanie Szkaradnik | Social Worker | 617 Riverside Ave, Burlington, VT 05401-1601 | 2020-01-27 |
1699312025 | Sabrina Leal | Social Worker | 617 Riverside Ave, Burlington, VT 05401-1601 | 2019-12-04 |
1558828111 | Meaghan Moran Mcfadden | Social Worker | 617 Riverside Ave, Burlington, VT 05401 | 2019-03-01 |
1912446097 | Zachary Schwartz | Nurse Practitioner | 617 Riverside Ave, Burlington, VT 05401-1601 | 2017-02-22 |
1295279628 | Samuel Lurie | Social Worker | 617 Riverside Ave, Burlington, VT 05401-1601 | 2016-12-03 |
1346796463 | Kristen Vinci Gray | Nurse Practitioner | 617 Riverside Ave, Burlington, VT 05401-1601 | 2016-08-29 |
1518328749 | Jessica A Griffin | Registered Nurse | 617 Riverside Ave, Burlington, VT 05401-1601 | 2016-03-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
Find all providers in zip 05401 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346841376 | Ralf F. Schuler, Dr. Med. Dent., Msd,pllc | Clinic/Center | 205 W Fairhaven Ave Ste C, Burlington, WA 98233-1062 | 2020-11-05 |
1255832663 | David Gage Dmd Pllc | Clinic/Center | 205 W Fairhaven Ave Ste B, Burlington, WA 98233-1062 | 2018-02-22 |
1518470806 | Greenwood Dental Burilington | Clinic/Center | 62 2nd Ave Ste E, Burlington, MA 01803-4432 | 2017-11-09 |
1356884613 | Labadie Family Dentistry, S.c. | Clinic/Center | 5019 Mormon Rd., Burlington, WI 53105 | 2016-11-18 |
1134674773 | Kathleen A Stambaugh, Dds Ps | Clinic/Center | 120 E George Hopper Rd Ste 215, Burlington, WA 98233-3125 | 2016-08-24 |
1396198446 | Burry Endodontics LLC | Clinic/Center | 205 W Fairhaven Ave Ste A, Burlington, WA 98233-1062 | 2016-07-13 |
1013308956 | Paul G. Lombardo, Dmd, PC | Clinic/Center | 104 Winn St, Burlington, MA 01803-3101 | 2015-02-13 |
1720485535 | Db2 Practice Management | Clinic/Center | 11 Cambridge St, Burlington, MA 01803 | 2014-11-21 |
1568636702 | Jj Bianclana Enterprises, Inc. | Clinic/Center | 255 S. Main St, Burlington, IL 60109 | 2008-04-18 |
1518130574 | Mary Hanna Makhlouf Dmd Ms Pa | Clinic/Center | 1682 Westbrook Ave, Burlington, NC 27215-9700 | 2008-04-10 |
Find all providers in BURLINGTON |
City | BURLINGTON |
Zip Code | 05401 |
Please comment or provide details below to improve the information on THE DENTAL CENTER AT COMMUNITY HEALTH CENTER OF BURLINGTON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.