DR. THEODORE C POLGAR (NPI# 1104038298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104038298 |
| Entity Type | Individual |
| Full Name | DR. THEODORE C POLGAR |
| Credential | DMD |
| Practice Address |
144 Stratton Rd Rutland VT 05701-3744 |
| Mailing Address |
144 Stratton Rd Po Box 938 Rutland VT 05701-3744 |
| Practice Telephone | 8027732921 |
| Mailing Telephone | 8027732921 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
654 | VT | Dental Providers |
| Street Address |
144 STRATTON RD |
| City | RUTLAND |
| State | VT |
| Zip Code | 05701-3744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721186 | All Dimensions Primary Care Pllc | Physician Assistant | 92 Allen Street, Rutland, VT 05701 | 2019-07-15 |
| 1962809053 | Laura Kalinen Laprise | Nurse Practitioner | Rutland Community Health Center, 215 Stratton Road, Rutland, VT 05701 | 2014-12-04 |
| 1962818781 | Andrea Louise Welch | Pharmacist | 1 Rutland Shopping Plaza, Rutland, VT 05701 | 2014-07-02 |
| 1396158903 | Gwendolyn Koenig | Counselor | 78 South Main St., Rutland, VT 05701 | 2014-06-11 |
| 1194088195 | Marcie Bouchard | Early Intervention Provider Agency | 24a East Street, Rutland, VT 05701 | 2012-06-25 |
| 1790047009 | Pamela Lenoci | Massage Therapist | 196 Joshua Place, Rutland, VT 05701 | 2012-06-12 |
| 1528339959 | Deborah E. Boston | Social Worker | 128 Merchants Row Ste 510, Rutland, VT 05701 | 2012-01-17 |
| 1235431834 | Alicia Marie Riesterer | Occupational Therapy Assistant | 46 Nichols St., Rutland Healthcare and Rehabilitation Center, Rutland, VT 05701 | 2010-12-02 |
| 1497085401 | Lauren Ann Lasante | Counselor | 198 N Main St Ste C-5, Rutland, VT 05701 | 2010-01-14 |
| 1568692515 | Steven C. Duboff, Dmd, PC | Dentist | 198 North Main St, Rutland, VT 05701 | 2009-07-23 |
| Find all providers in zip 05701 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568692515 | Steven C. Duboff, Dmd, PC | Dentist | 198 North Main St, Rutland, VT 05701 | 2009-07-23 |
| 1164073136 | Lynn H. Duboff, Dmd, Pllc | Dentist | 72 Allen St, Rutland, VT 05701-4568 | 2019-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598884850 | Champlain Periodontal P.C. | Dentist | 37 Timber Ln, South Burlington, VT 05403-5201 | 2007-03-28 |
| 1689775934 | Brian D Huber | Dentist | 37 Timber Lane, So Burlington, VT 05403 | 2006-09-26 |
| 1689610073 | Curtis Thornton Middleton | Dentist | 54 Chickering Dr, Brattleboro, VT 05301-8861 | 2006-06-22 |
| 1689619074 | Associates In Periodontics, Plc | Dentist | 247 Pearl St, Suite 2, Burlington, VT 05401-8572 | 2006-06-18 |
| 1659376465 | Brian D. Shuman | Dentist | 1775 Williston Rd, Ste 250, South Burlington, VT 05403-6491 | 2005-06-17 |
| 1538529045 | Samuel Korkis | Dentist | 60 Timber Ln, South Burlington, VT 05403-7214 | 2016-02-25 |
| 1386704948 | William Elliott Guild | Dentist | 160 Benmont Avenue, Suite 21, Bennington, VT 05201 | 2006-12-12 |
| 1396846655 | Nevin Zablotsky | Dentist | 37 Timber Lane, So Burlington, VT 05403 | 2006-09-26 |
| 1457459752 | Francois D Letourneau | Dentist | 60 Timber Ln, South Burlington, VT 05403-7204 | 2006-09-20 |
| 1447267083 | Kateryna Latypova | Dentist | 160 Benmont Ave, Suite 21, Bennington, VT 05201 | 2006-08-02 |
| Find all providers with the same taxonomy | ||||
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| 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.