DR. THEODORE LIBRIZZI (NPI# 1124140280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124140280 |
| Entity Type | Individual |
| Full Name | DR. THEODORE LIBRIZZI |
| Credential | DDS |
| Practice Address |
1 Kennedy Drive Suite 5 South Burlington VT 05403 |
| Practice Telephone | 8028599441 |
| Practice Fax Number | 8028622424 |
| Mailing Telephone | 8028599441 |
| Mailing Fax Number | 8028622424 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
0160000947 | VT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1002638 | 05 |
| Street Address |
1 KENNEDY DRIVE SUITE 5 |
| City | SOUTH BURLINGTON |
| State | VT |
| Zip Code | 05403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114049384 | David James Angus | Dentist | 1 Kennedy Drive, Suite #5, South Burlington, VT 05403 | 2007-04-06 |
| 1558483602 | Jeffrey Joseph Blasius | Dentist | 1 Kennedy Drive, Suite 5, South Burlington, VT 05403 | 2007-04-06 |
| 1740306224 | Associates In Orhtodontics PC | Dentist | 1 Kennedy Drive, Suite #5, South Burlington, VT 05403 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659938975 | Josee-ann Guay | Student in an Organized Health Care Education/Training Program | 1060 Hinesburg Road Suite 201, South Burlington, VT 05403 | 2019-05-22 |
| 1821556390 | Alexander Taite Carpenter | Specialist/Technologist | 2069 Williston Road Ap #2, South Burlington, VT 05403 | 2019-03-04 |
| 1144732785 | Molly Koch Parker | Dietitian, Registered | 1233 Shelburne Rd Ste D2, South Burlington, VT 05403 | 2017-11-03 |
| 1497273007 | Marlena Anya Pecora | Acupuncturist | 368 Dorset St # 3, South Burlington, VT 05403 | 2017-09-03 |
| 1467908525 | Rinaben P Patel | Pharmacist | 39 Hinesburd Road, South Burlington, VT 05403 | 2016-08-29 |
| 1770949950 | Tara Flor | Chiropractor | 30 Farrell St Ste 100, South Burlington, VT 05403 | 2016-01-04 |
| 1356716187 | Frank Breen | Counselor | 163 Hinesburg Road, South Burlington, VT 05403 | 2015-12-04 |
| 1063808210 | Lisa C Harrington | Registered Nurse | Stone House Associates, 27 Rye Circle, South Burlington, VT 05403 | 2015-04-14 |
| 1083018626 | Jessica Jablonski | Speech-Language Pathologist | 2 Baldwin Ave, South Burlington, VT 05403 | 2014-10-10 |
| 1538590567 | Vasta Physical Therapy, Inc | Physical Therapist | 340 Dorset Street, Suite 2, South Burlington, VT 05403 | 2013-12-02 |
| Find all providers in zip 05403 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770847964 | Zachary T Librizzi | Dentist | 1 Kennedy Dr, Suite 5, South Burlington, VT 05403-7152 | 2012-07-02 |
| 1114049384 | David James Angus | Dentist | 1 Kennedy Drive, Suite #5, South Burlington, VT 05403 | 2007-04-06 |
| 1558483602 | Jeffrey Joseph Blasius | Dentist | 1 Kennedy Drive, Suite 5, South Burlington, VT 05403 | 2007-04-06 |
| 1740306224 | Associates In Orhtodontics PC | Dentist | 1 Kennedy Drive, Suite #5, South Burlington, VT 05403 | 2007-03-22 |
| 1174622179 | Thomas J Fischer | Dentist | 60 Timber Ln, South Burlington, VT 05403-7204 | 2006-09-22 |
| 1477652485 | Christopher L Lundberg | Dentist | 60 Timber Ln, South Burlington, VT 05403-7204 | 2006-09-22 |
| 1306945969 | Fred D Ziegler | Dentist | 60 Timber Ln, South Burlington, VT 05403-7204 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423112 | Candid Vermont, Pllc | Dentist | 145 Pine Haven Shores Rd Ste 1000o, Shelburne, VT 05482-7812 | 2020-09-23 |
| 1437272960 | Peter John Abell | Dentist | 321 Hillwinds Rd, Brattleboro, VT 05301-9073 | 2007-04-09 |
| 1306979687 | Geoffry Lee Campe | Dentist | 107 Bonnet St, Manchester Center, VT 05255 | 2007-03-14 |
| 1891839205 | Michael Edward Sleeman | Dentist | 211 School St, Bennington, VT 05201-2510 | 2007-02-18 |
| 1811033434 | Richard Arleigh Schlein | Dentist | 18 Olcott Dr, Wilder, VT 05088 | 2007-01-30 |
| 1730230228 | Daniel Brodkowitz | Dentist | 113 Church St, St Johnsbury, VT 05819-2125 | 2007-01-13 |
| 1366504276 | Daniel M Beisiegel | Dentist | 354 Mtn View Drive, Colchester, VT 05446 | 2006-12-15 |
| 1023192648 | Dara Chira, Dmd | Dentist | 1073 North Ave, Burlington, VT 05401-2709 | 2006-10-24 |
| 1760571905 | Emily Jeanne Samuel | Dentist | 372 River St, Springfield, VT 05156-2242 | 2006-10-12 |
| 1053357194 | John Fenning Steinman | Dentist | 161 Us Route 302, Barre, VT 05641 | 2006-06-20 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BURLINGTON |
| Zip Code | 05403 |
Please comment or provide details below to improve the information on DR. THEODORE LIBRIZZI.
| 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.