CHARLOTTE M CHURCH (NPI# 1407262827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407262827 |
| Entity Type | Individual |
| Full Name | CHARLOTTE M CHURCH |
| Credential | D.D.S. |
| Practice Address |
416 Roosevelt Hwy Ste 201 Colchester VT 05446 |
| Mailing Address |
416 Roosevelt Hwy Colchester VT 05446-5975 |
| Practice Telephone | 8026554614 |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2019-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
016.0133876 | VT | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3876 | VT | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
7147 | NE | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6 Park Pl, Bristol, VT 05443 | 8024537700 | 4023621601 |
| 416 Roosevelt Hwy Ste 201, Colchester, VT 05446 | 8026554614 |
| Street Address |
416 ROOSEVELT HWY STE 201 |
| City | COLCHESTER |
| State | VT |
| Zip Code | 05446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130157 | Justin Michael Boufford | Pharmacist | 218 Lower Mountian View Dr., Colchester, VT 05446 | 2020-09-24 |
| 1174154991 | The Vermont Center for Responder Wellness | Social Worker | 162 Hegeman Avenue, Suite 100, Colchester, VT 05446 | 2020-01-30 |
| 1972011047 | Erin Lee Murphy | Speech-Language Pathologist | 131 Laker Lane, Colchester, VT 05446 | 2018-01-11 |
| 1821535204 | Zoe Walsh | Specialist/Technologist | 131 Laker Ln, Colchester, VT 05446 | 2017-01-24 |
| 1215251681 | Courtney Joy Brink | Speech-Language Pathologist | 1100 Prim Rd, Colchester, VT 05446 | 2010-03-15 |
| 1316170343 | Alexis Brooke Ressler | Nurse Practitioner | 729 Colchester Parkway, Medical Office Building, Suite 205, Colchester, VT 05446 | 2009-08-25 |
| 1659539393 | Deborah Kalamasz | Speech-Language Pathologist | 11102 Ethan Allen Ave, Colchester, VT 05446 | 2008-05-29 |
| 1235356700 | Angelo Marinakis | Chiropractor | 85 Prim Road, Suite 401, Colchester, VT 05446 | 2007-04-19 |
| 1629292719 | Susan Mary Coleman | Occupational Therapist | 800 Middle Road, Colchester, VT 05446 | 2007-04-12 |
| 1215151410 | State of Vermont | Clinical Medical Laboratory | Vermont Public Health Laboratory, 359 South Park Drive, Colchester, VT 05446 | 2007-04-12 |
| Find all providers in zip 05446 | ||||
| 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 |
|---|---|---|---|---|
| 1740469345 | Dr Anna M Bolanis Family Dentistry Inc | Dentist | 760 West Lakeshore Dr, Suite 1, Colchester, VT 05446-1580 | 2007-10-31 |
| 1184746851 | Kenneth Palm | Dentist | 106 High Point Ctr, Suite 100, Colchester, VT 05446-5861 | 2007-04-04 |
| 1164571402 | Anna M Bolanis | Dentist | 760 West Lakeshore Drive, Suite 1, Colchester, VT 05446-1580 | 2007-01-09 |
| 1598838195 | William Kyle Mooney | Dentist | 416 Roosevelt Hwy, Suite #201, Colchester, VT 05446 | 2006-11-15 |
| 1942237375 | John A Cross | Dentist | 97 Blakely Rd, Suite 104, Colchester, VT 05446-4008 | 2006-06-28 |
| 1437153798 | Stephen Monroe Pitmon | Dentist | 875 Roosevelt Hwy, Suite 110, Colchester, VT 05446-4460 | 2005-06-02 |
| 1770183071 | Colchester Dental, LLC | Dentist | 106 High Point Ctr Ste 100, Colchester, VT 05446-8800 | 2020-10-27 |
| 1780175208 | Professional Dental Alliance of Colchester, Pllc | Dentist | 151 Broadway St, Colchester, CT 06415-1056 | 2018-05-21 |
| 1588040547 | Craig Allen Goliber | Dentist | 106 High Point Ctr Ste 100, Colchester, VT 05446-8800 | 2015-07-31 |
| 1164842506 | Life Long Dental Care of Colchester LLC | Dentist | 151 Broadway St, Colchester, CT 06415-1056 | 2014-04-24 |
| Find all providers in COLCHESTER | ||||
| City | COLCHESTER |
| Zip Code | 05446 |
Please comment or provide details below to improve the information on CHARLOTTE M CHURCH.
| 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.