DR. SUSAN ANN GRIMES (NPI# 1710913157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710913157 |
| Entity Type | Individual |
| Full Name | DR. SUSAN ANN GRIMES |
| Credential | DDS |
| Practice Address |
30 Shelburne Shopping Park Shelburne VT 05482-7488 |
| Practice Telephone | 8029833500 |
| Mailing Telephone | 8029853500 |
| Mailing Fax Number | 8029852979 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
VT 966 | VT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1002660 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114231578 | Susan Righter Grimes | Nurse Practitioner | 7g Heritage Dr, Chatham, NJ 07928-2966 | 2010-07-27 |
| 1639363799 | Susan Loraine Grimes | Occupational Therapy Assistant | 5601 Bridge St, Suite 401, Fort Worth, TX 76112-2384 | 2007-08-31 |
| 1083729818 | Susan Ann Grimes | Counselor | 532 W Pittsburgh St, Greensburg, PA 15601-2239 | 2006-08-20 |
| Street Address |
30 SHELBURNE SHOPPING PARK |
| City | SHELBURNE |
| State | VT |
| Zip Code | 05482-7488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821034729 | Dan Melo | Dentist | 30 Shelburne Shopping Park, Shelburne, VT 05482-7488 | 2006-06-21 |
| 1942709548 | Christina Marie Nasca Gonzalez | Pharmacist | 30 Shelburne Shopping Park, Shelburne, VT 05482-7488 | 2018-02-08 |
| 1437672037 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 30 Shelburne Shopping Park, Shelburne, VT 05482-7488 | 2017-07-25 |
| 1245783836 | Rite Aid Corporation | Pharmacist | 30 Shelburne Shopping Park, Shelburne, VT 05482-7488 | 2016-07-29 |
| 1528471190 | Kathleen Sawtelle | Pharmacist | 30 Shelburne Shopping Park, Shelburne, VT 05482-7488 | 2014-06-11 |
| 1053751164 | Shelburne Dental Services, P.C. | Dentist | 30 Shelburne Shopping Park, Shelburne, VT 05482-7488 | 2013-07-03 |
| 1801188990 | Rajendra Vaghasiya | Pharmacist | 30 Shelburne Shopping Park, Shelburne, VT 05482-7488 | 2011-05-06 |
| 1962793109 | Tarek M El Assar | Pharmacist | 30 Shelburne Shopping Park, Rite Aid # 10326, Shelburne, VT 05482-7488 | 2011-04-21 |
| 1588879472 | Dan Melo, Dmd, Plc | Dentist | 30 Shelburne Shopping Park, Shelburne, VT 05482-7488 | 2007-05-13 |
| 1730195942 | Maxi Green Inc | Durable Medical Equipment & Medical Supplies | 30 Shelburne Shopping Park, Shelburne, VT 05482-7488 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124446422 | Lorraine Farrell | Physical Therapist | 267 Executive Drive, Shelburne, VT 05482 | 2014-04-03 |
| 1700212982 | Gregory P. Guilmartin | Technician/Technologist | 2989 Shelburne Road, Shelburne, VT 05482 | 2013-09-19 |
| 1104183524 | Kph Healthcare Services, Inc. | Pharmacy | 47 Executive Drive, Shelburne, VT 05482 | 2012-04-23 |
| 1720227622 | Margaret Foster | Social Worker | 5138 Shelburne Road, Shelburne, VT 05482 | 2009-02-17 |
| 1841458544 | Jeffrey Blaine Waite | Pharmacist | 86 Bay Road, Shelburne, VT 05482 | 2008-05-29 |
| 1730234964 | Barbara Van Drimmelen PC | Psychologist | 1 Marsett Rd., Shelburne, VT 05482 | 2007-01-25 |
| 1619035771 | Sara Jane Packard | Internal Medicine | 4070 Shelburne Rd, Shelburne, VT 05482 | 2006-12-04 |
| 1093889578 | Marian Bernice Feldman | Counselor | 5224 Shelburne Rd Suite S, Shelburne, VT 05482 | 2006-11-17 |
| 1265518088 | Mary C. Spicer | Chiropractor | 5247 Shelburne Rd., Suite 204, Shelburne, VT 05482 | 2006-10-27 |
| 1386687325 | Carl J Gutierrez | Anesthesiology | 4180 Harbor Rd, Shelburne, VT 05482 | 2006-06-14 |
| Find all providers in zip 05482 | ||||
| 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 |
|---|---|---|---|---|
| 1871822627 | Shelburne Restorative Dentistry | Dentist | 41 Falls Road, Shelburne, VT 05482-0471 | 2009-12-08 |
| 1821034729 | Dan Melo | Dentist | 30 Shelburne Shopping Park, Shelburne, VT 05482-7488 | 2006-06-21 |
| 1174565410 | Philippe Charlebois | Dentist | 41 Falls Rd., Shelburne, VT 05482-0471 | 2006-06-12 |
| 1053751164 | Shelburne Dental Services, P.C. | Dentist | 30 Shelburne Shopping Park, Shelburne, VT 05482-7488 | 2013-07-03 |
| 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 | ||||
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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.