DR. MARK THOMAS KEYDEL (NPI# 1417099920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417099920 |
| Entity Type | Individual |
| Full Name | DR. MARK THOMAS KEYDEL |
| Credential | DDS |
| Practice Address |
52 Colchester Ave Burlington VT 05401 |
| Mailing Address |
27 Cabot Court South Burlington VT 05403 |
| Practice Telephone | 8028640353 |
| Practice Fax Number | 8028659414 |
| Mailing Telephone | 8026589981 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | VT851 | VT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0002450 | 05 |
| Street Address |
52 COLCHESTER AVE |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
| 1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
| 1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
| 1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| Find all providers in zip 05401 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010579 | Catherine Eileen Zimmermann | Dentist | 190 Gardner Ave Ste 7, Burlington, WI 53105-2160 | 2020-07-20 |
| 1609484328 | Finn T Evans | Dentist | 54 Middlesex Tpke # 104, Burlington, MA 01803-4908 | 2020-07-20 |
| 1437796786 | Burlington Center Dental Associates, PC | Dentist | 30 Chestnut Ave Ste 2, Burlington, MA 01803-1604 | 2019-12-05 |
| 1003366790 | Advanced Dental Care | Dentist | 388 Cambridge St, Burlington, MA 01803-1945 | 2016-10-06 |
| 1821455502 | Jersey Dental Group | Dentist | 1900 Mount Holly Rd, Suite 2c, Burlington, NJ 08016-4722 | 2016-01-26 |
| 1972917318 | Dr. Oler & Assoc. Burlington, P.a. | Dentist | 1595 Glidewell Drive Suite #104, Burlington, NC 27215-8243 | 2014-06-13 |
| 1730421389 | First Choice Dental Group | Dentist | 11 Camridge Street, Burlington, MA 01803 | 2013-03-21 |
| 1417219015 | Ankush Jindal | Dentist | 237 Hildred Dr, Burlington, VT 05401-3694 | 2012-06-11 |
| 1447522693 | Burlington Dental Associates, P.a | Dentist | 1130 N Route 130, Burlington, NJ 08016-2900 | 2012-02-03 |
| 1568740967 | Natasha S Yegorov | Dentist | 83 Cambridge St Ste 3a, Burlington, MA 01803-4181 | 2011-08-02 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 05401 |
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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.