DANIEL BRODKOWITZ (NPI# 1730230228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730230228 |
| Entity Type | Individual |
| Full Name | DANIEL BRODKOWITZ |
| Practice Address |
113 Church St St Johnsbury VT 05819-2125 |
| Practice Telephone | 8027488353 |
| Mailing Telephone | 8027488353 |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
557 | VT | Dental Providers |
| Street Address |
113 CHURCH ST |
| City | ST JOHNSBURY |
| State | VT |
| Zip Code | 05819-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457353 | Amber L Carrasquillo | Pharmacist | 438 Railroad St Apt 301, Saint Johnsbury, VT 05819 | 2018-11-27 |
| 1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
| 1447797873 | Kingdom Autism and Behavioral Health, LLC | Behavioral Analyst | 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 | 2017-01-24 |
| 1407211493 | Scott Rosemark | Pharmacist | 957 Memorial Drive, Saint Johnsbury, VT 05819 | 2015-12-18 |
| 1134541295 | Meghan Davis | Counselor | 231 Concord Ave Ste 2, St Johnsbury, VT 05819 | 2014-01-09 |
| 1639490279 | Carol Lynn Smith | Counselor | 445 Portland St, St. Johnsbury, VT 05819 | 2010-06-17 |
| 1548435696 | Philip Lightbear | Counselor | 108 Cherry Street Suite 1, St Johnsburg, VT 05819 | 2008-04-29 |
| 1740452416 | Kimberly Dena Lightbear | Counselor | 108 Cherry Street, St Johnsbury, VT 05819 | 2008-04-02 |
| 1720262249 | Deborah B Goldberg | Psychologist | 1194 Main Street, Suite 107, St Johnsbury, VT 05819 | 2007-12-19 |
| 1154501880 | Mary Jane Egerton | Social Worker | 506 Tripp Lane, St Johnsburg, VT 05819 | 2007-11-09 |
| Find all providers in zip 05819 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423112 | Candid Vermont, Pllc | Dentist | 145 Pine Haven Shores Rd Ste 1000o, Shelburne, VT 05482-7812 | 2020-09-23 |
| 1437272960 | Peter John Abell | Dentist | 321 Hillwinds Rd, Brattleboro, VT 05301-9073 | 2007-04-09 |
| 1306979687 | Geoffry Lee Campe | Dentist | 107 Bonnet St, Manchester Center, VT 05255 | 2007-03-14 |
| 1891839205 | Michael Edward Sleeman | Dentist | 211 School St, Bennington, VT 05201-2510 | 2007-02-18 |
| 1811033434 | Richard Arleigh Schlein | Dentist | 18 Olcott Dr, Wilder, VT 05088 | 2007-01-30 |
| 1366504276 | Daniel M Beisiegel | Dentist | 354 Mtn View Drive, Colchester, VT 05446 | 2006-12-15 |
| 1023192648 | Dara Chira, Dmd | Dentist | 1073 North Ave, Burlington, VT 05401-2709 | 2006-10-24 |
| 1760571905 | Emily Jeanne Samuel | Dentist | 372 River St, Springfield, VT 05156-2242 | 2006-10-12 |
| 1053357194 | John Fenning Steinman | Dentist | 161 Us Route 302, Barre, VT 05641 | 2006-06-20 |
| 1437694635 | Nda Associates, Pllc | Dentist | 71 Knight Ln, Suite 10, Williston, VT 05495-4432 | 2016-12-23 |
| Find all providers with the same taxonomy | ||||
| City | ST JOHNSBURY |
| Zip Code | 05819 |
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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.