ASSOCIATES IN PERIODONTICS, PLC (NPI# 1689619074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689619074 |
| Entity Type | Organization |
| Organization Name | ASSOCIATES IN PERIODONTICS, PLC |
| Practice Address |
247 Pearl St Suite 2 Burlington VT 05401-8572 |
| Mailing Address |
247 Pearl St Burlington VT 05401-8572 |
| Practice Telephone | 8028635447 |
| Mailing Telephone | 8028635447 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2009-06-03 |
| Authorized Official Name | DR. BRIAN D. SHUMAN (OFFICER) |
| Authorized Official Telephone | 8028635447 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
016-00981 | VT | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | ASSOCIATES IN PERIODONTICS, PLC | 1775 Williston Road, Suite #250, South Burlington, VT 05403 |
| Street Address |
247 PEARL ST SUITE 2 |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401-8572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972660330 | Holly Anne Halliday | Dentist | 247 Pearl St, Burlington, VT 05401-8502 | 2007-01-03 |
| 1346351038 | Richard R Reed | Dentist | 247 Pearl St, Burlington, VT 05401-8502 | 2006-08-31 |
| 1679684260 | Champlain Orthodontic Associates | Dentist | 247 Pearl St, Burlington, VT 05401-8502 | 2006-08-31 |
| 1518078294 | J. Peter Sande | Dentist | 247 Pearl St, Burlington, VT 05401-8502 | 2006-08-31 |
| 1891806485 | Elissa A. Eaton | Dentist | 247 Pearl St, Burlington, VT 05401-8502 | 2006-08-31 |
| 1649381237 | Daniel J. Ryan | Dentist | 247 Pearl St, Burlington, VT 05401-8502 | 2006-08-31 |
| 1578583563 | Paul A. Levi Jr. | Dentist | 247 Pearl St, Burlington, VT 05401-8502 | 2006-07-20 |
| 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 | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316163793 | Frank A.lasley, IIi Dds PC | Dentist | 2 Winn St, Burlington, MA 01803-4701 | 2007-04-17 |
| 1366528853 | Paul D Byerly | Dentist | 1635 Memorial Dr, Burlington, NC 27215-3517 | 2006-10-27 |
| 1003836586 | Kathleen A Stambaugh | Dentist | 120 E George Hopper Rd, Suite 215, Burlington, WA 98233-3125 | 2006-07-20 |
| 1396749313 | Joseph Gerard Maloney | Dentist | 2 Winn Street, Dr Joseph Maloney, Burlington, MA 01803-4725 | 2005-06-08 |
| 1659820207 | Curtis K. Wade, Dds,ps | Dentist | 205 W Fairhaven Ave, Suite C, Burlington, WA 98233-1062 | 2016-09-23 |
| 1215282975 | Won Kyung Kim | Dentist | 279 Cambridge St Ste 9, Burlington, MA 01803-2549 | 2012-07-18 |
| 1124148788 | Curtis K Wade | Dentist | 205 W Fairhaven Ave, Ste C, Burlington, WA 98233-1062 | 2007-03-29 |
| 1104917319 | Timothy James Bockenstedt | Dentist | 700 N 3rd St, Burlington, IA 52601 | 2006-09-27 |
| 1336160282 | Roger Stambaugh | Dentist | 120 E George Hopper Rd, Suite 215, Burlington, WA 98233-3125 | 2006-07-23 |
| 1578583563 | Paul A. Levi Jr. | Dentist | 247 Pearl St, Burlington, VT 05401-8502 | 2006-07-20 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 05401 |
Please comment or provide details below to improve the information on ASSOCIATES IN PERIODONTICS, PLC.
| 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.