DR. JEREMY MAC CLOVER (NPI# 1275912115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275912115 |
| Entity Type | Individual |
| Full Name | DR. JEREMY MAC CLOVER |
| Credential | DMD |
| Practice Address |
677 Vt Route 7a Shaftsbury VT 05262-9548 |
| Practice Telephone | 8024427300 |
| Mailing Telephone | 8024427300 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 016.0111405 | VT | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
016.0111405 | VT | Dental Providers |
| Street Address |
677 VT ROUTE 7A |
| City | SHAFTSBURY |
| State | VT |
| Zip Code | 05262-9548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245295906 | David E King | Family Medicine | 677 Vt Route 7a, Shaftsbury, VT 05262-9548 | 2006-04-18 |
| 1235601329 | Steven James Aiello | Physician Assistant | 677 Vt Route 7a, Shaftsbury, VT 05262-9548 | 2018-12-30 |
| 1851602338 | Thomas Raymond Buck | Physician Assistant | 677 Vt Route 7a, Shaftsbury, VT 05262-9548 | 2010-06-29 |
| 1538390042 | Tyler Carmack | Dentist | 677 Vt Route 7a, Shaftsbury, VT 05262-9548 | 2009-07-31 |
| 1598720252 | Drinnon Arlon Hand | Family Medicine | 677 Vt Route 7a, Shaftsbury, VT 05262-9548 | 2006-04-18 |
| 1831154616 | Allison Page Niemi | Family Medicine | 677 Vt Route 7a, Shaftsbury, VT 05262-9548 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518376607 | Penny S Bruso | Nurse Practitioner | 677 Rte 7a, Shaftsbury, VT 05262 | 2014-08-04 |
| 1467745745 | Cynthia Jean Jacobs | Massage Therapist | 782 Rte 7a, Cynthia Jacobs, Shaftsbury, VT 05262 | 2011-05-19 |
| 1497816706 | Herbert Moskowitz | Dentist | 677 Route 7a, Shaftsbury, VT 05262 | 2006-12-12 |
| 1780631143 | Bruce D Nash | Family Medicine | 308 Ridge Road, Nash Healthcare Managment, Shaftsbury, VT 05262 | 2006-05-30 |
| 1326530882 | Cody Spencer | Dentist | 677 Route 7a, Shaftsbury, VT 05262 | 2018-05-31 |
| 1730484213 | Shaftsbury Dental Center PC | Dentist | 677 Route 7a, Shaftsbury, VT 05262 | 2011-01-14 |
| 1407088172 | Elizabeth G Carmack | Dentist | 677 Route 7a, Shaftsbury, VT 05262 | 2009-08-14 |
| 1790293777 | Jamie Rogers | Nurse Practitioner | 677 Vt Rte 7a, Shaftsbury, VT 05262-0379 | 2018-01-12 |
| 1366524795 | Shaftsbury Medical Associates, Inc. | Family Medicine | 677 Vt. Rte. 7a, Shaftsbury, VT 05262-0379 | 2006-10-19 |
| 1780010983 | Christopher Ludwig | Physical Therapist | 80 W Mountain Rd, Shaftsbury, VT 05262-9370 | 2013-09-19 |
| Find all providers in zip 05262 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326530882 | Cody Spencer | Dentist | 677 Route 7a, Shaftsbury, VT 05262 | 2018-05-31 |
| 1407088172 | Elizabeth G Carmack | Dentist | 677 Route 7a, Shaftsbury, VT 05262 | 2009-08-14 |
| 1538390042 | Tyler Carmack | Dentist | 677 Vt Route 7a, Shaftsbury, VT 05262-9548 | 2009-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757121 | Brattleboro Dental Care LLC | Dentist | 80 Flat St Ste 101, Brattleboro, VT 05301-3258 | 2020-07-08 |
| 1487271094 | Patrick Mclaughlin | Dentist | 26 Quail Hollow Dr, Milton, VT 05468-3578 | 2020-06-30 |
| 1427673243 | Jenna Rogge | Dentist | 1212 Putney Rd, Brattleboro, VT 05301-5102 | 2020-06-09 |
| 1497370266 | Jin Sun Thomas | Dentist | 62 Merchants Row Ste 104, Williston, VT 05495-4476 | 2020-06-08 |
| 1518593896 | Archer Dental Plc | Dentist | 303 Us Route 5 South, Norwich, VT 05055 | 2020-03-18 |
| 1972161958 | Sara Davis | Dentist | 65 Northgate Ave #11, Morrisville, VT 05661 | 2019-06-04 |
| 1285292268 | Robert A Davis | Dentist | 248 S Main St, Barre, Vt 05641, Barre, VT 05641 | 2019-06-04 |
| 1629540885 | Simone Vieira De Moraes De Luna | Dentist | 856 Us Route 302 Unit A, Barre, VT 05641-2301 | 2018-12-27 |
| 1093200495 | Kate Morey | Dentist | 856 Us 302 Unit A, Barre, VT 05641-2301 | 2018-06-27 |
| 1265949903 | Jodeci Malixi | Dentist | 494 Highland Ave #1, Newport, VT 05855 | 2018-01-03 |
| Find all providers with the same taxonomy | ||||
| City | SHAFTSBURY |
| Zip Code | 05262 |
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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.