LOUIS ANTHONY BEAUDETTE


Address: 108 East Main Street, Wilmington, VT 05363
Phone: 8024645817

LOUIS ANTHONY BEAUDETTE (NPI# 1114943479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114943479
Entity Type Individual
Full Name LOUIS ANTHONY BEAUDETTE
Credential DMD
Practice Address 108 East Main Street
Wilmington
VT 05363
Mailing Address 108 East Main St.
Box 937
Wilmington
VT 05363-0937
Practice Telephone 8024645817
Practice Fax Number 8024641103
Mailing Telephone 8024645817
Mailing Fax Number 8024641103
Enumeration Date 2006-07-13
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
016-0000588 VT Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
VT 0001693 05

Office Location

Street Address 108 EAST MAIN STREET
City WILMINGTON
State VT
Zip Code 05363

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033227293 Michele Doucette Chiropractor 497 Boyd Hill Rd, Wilmington, VT 05363 2006-08-28
1740269042 Joanne C Case Social Worker 210 Route 9e, Suite 5, Wilmington, VT 05363 2006-01-13
1376067918 Walgreen Co Durable Medical Equipment & Medical Supplies 107 E Main St, Wilmington, VT 05363 2017-07-26
1922388768 Thomas Urban Kaufmann Pharmacist 107 East Main St, Wilmington, VT 05363 2011-08-25
1346520517 Gary M Scholl Pharmacist 107 East Main St., Wilmington, VT 05363 2011-08-19
1528348752 Richard Brueckner II Pharmacist 107 East Main St, Wilmington, VT 05363-0279 2011-08-19
1811558422 Emma Rose Boisvert I Nurse Practitioner Deerfield Valley Health Center, 30 Route 100 South, Wilmington, VT 05363-0536 2019-06-25
1477195758 Carly Rae Wershoven Pharmacist 107 E Main St, Wilmington, VT 05363-4000 2019-10-08
1508899915 Peter C Park Family Medicine 30 Vt Route 100 S, Wilmington, VT 05363-7944 2006-07-09
1740261775 Deerfield Valley Rescue, Inc. Ambulance 34 Route 100 S, Wilmington, VT 05363-7944 2005-11-08
Find all providers in zip 05363

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013529437 Nicholas Peter Griggs Dentist 7150 Market St Ste 130, Wilmington, NC 28411-9888 2020-08-18
1851930986 L.brett Wells Dds IIi Pllc Dentist 124 Walnut St Ste 101, Wilmington, NC 28401-4361 2020-01-07
1891357166 Alexandra Palamaru Dentist 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 2019-07-08
1497312649 Christian G Cook Dentist 7205 Wrightsville Ave Ste 105, Wilmington, NC 28403-7273 2019-05-23
1417424649 Lindell Plaza Dental LLC Dentist 1601 Milltown Rd Ste 26b, Wilmington, DE 19808-4027 2018-10-25
1699128868 Lauren Elizabeth Marechal Dentist 5000 Market St, Wilmington, NC 28405-3430 2016-07-22
1982051546 Safia Naik-azizi Dmd & Associates Pa Dentist 215 Racine Dr Ste 102, Wilmington, NC 28403-8839 2016-05-24
1508213323 Daniel Joseph Duffy Jr. Dentist 2520 Delaney Ave, Wilmington, NC 28403-6002 2016-05-22
1326468513 Edward Blake Bayley Dentist 1610 Sunset Ln, Wilmington, DE 19810-4149 2014-04-26
1255751616 Eric and Casey Burns Dds Pa Dentist 4914 Randall Pkwy, Wilmington, NC 28403-2879 2014-04-23
Find all providers in WILMINGTON

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City WILMINGTON
Zip Code 05363

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Dataset Information

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.

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