DR. BRUCE CHARLES LATELLE (NPI# 1528079811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528079811 |
| Entity Type | Individual |
| Full Name | DR. BRUCE CHARLES LATELLE |
| Credential | D.D.S. |
| Practice Address |
61 South Willard St Burlington VT 05401 |
| Mailing Address |
61 S Willard St Burlington VT 05401-3419 |
| Practice Telephone | 8028631315 |
| Practice Fax Number | 8026519301 |
| Mailing Telephone | 8028631315 |
| Mailing Fax Number | 8026519301 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
534 | VT | Dental Providers |
| Street Address |
61 SOUTH WILLARD ST |
| 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 | 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 |
|---|---|---|---|---|
| 1538783717 | Chang and Ramos II Dds Pa | Dentist | 1610 Vaughn Rd Ste F, Burlington, NC 27217-2919 | 2020-06-03 |
| 1902452139 | Bradley Roberts & Associates Pllc | Dentist | 1135 N Church St, Burlington, NC 27217-2701 | 2019-08-13 |
| 1649782889 | Dr. Sin Dmd Pa | Dentist | 2430 S Church St Ste B, Burlington, NC 27215-5202 | 2017-10-27 |
| 1255853412 | Kyoung Soo Han | Dentist | 1595 Glidewell Dr Ste 104, Burlington, NC 27215-8254 | 2017-07-10 |
| 1639541626 | Burlington Family Dentistry | Dentist | 340 14th St, Burlington, CO 80807-1608 | 2015-10-29 |
| 1427460476 | Nathan Wright Patterson | Dentist | 2879 Rob Shephard Dr, Burlington, NC 27215-9299 | 2014-05-27 |
| 1982041356 | Marion Hernon | Dentist | 120 E George Hopper Rd Ste 100, Burlington, WA 98233 | 2013-05-25 |
| 1023382710 | Keith A. Salvatori, Dmd, P.C. | Dentist | 2050 Marketplace Dr, Burlington Crossing Shopping Center, Burlington, WA 98233-3207 | 2012-02-28 |
| 1073811063 | Rock Creek Dental, P.a. | Dentist | 311 Neosho St, Burlington, KS 66839-1925 | 2011-03-01 |
| 1811292048 | Thomas W. Monahan, Iv, Dmd, Pa | Dentist | 115 Engleman Avenue, Burlington, NC 27215-4844 | 2011-01-19 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 05401 |
Please comment or provide details below to improve the information on DR. BRUCE CHARLES LATELLE.
| 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.