MAPLE LEAF FAMILY DENTISTRY (NPI# 1912100256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912100256 |
| Entity Type | Organization |
| Organization Name | MAPLE LEAF FAMILY DENTISTRY |
| Other Organization Name | BRIGHAM DENTAL CARE |
| Practice Address |
58 Brigham Street Morrisville VT 05661 |
| Mailing Address |
Po Box 636 Morrisville VT 05661-0636 |
| Practice Telephone | 8028885685 |
| Mailing Telephone | 8028885685 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MATTHEW S EBERT (OWNER) |
| Authorized Official Telephone | 8028885685 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
016-0002038 | VT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1009502 | 05 |
| Other Name | Type Code |
|---|---|
| Brigham Dental Care | Doing Business As Name - Organization |
| Street Address |
58 BRIGHAM STREET |
| City | MORRISVILLE |
| State | VT |
| Zip Code | 05661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972161958 | Sara Davis | Dentist | 65 Northgate Ave #11, Morrisville, VT 05661 | 2019-06-04 |
| 1326587296 | Michelle Yando | Student in an Organized Health Care Education/Training Program | 610 Morristown Corners Rd, Morrisville, VT 05661 | 2017-02-13 |
| 1174993273 | Kristine Kupcha | Counselor | 379 Washington Highway, Morrisville, VT 05661 | 2015-10-01 |
| 1639549942 | Joanne Mcgrath | Counselor | 72 Harrel Street, Morrisville, VT 05661 | 2015-09-29 |
| 1245615814 | Therapeutic Counseling and Consulting Services LLC | Counselor | 34 Pleasant St Ste 2, Morrisville, VT 05661 | 2015-07-24 |
| 1407243272 | Vermont Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 13 Vermont 15 East, Morrisville, VT 05661 | 2015-04-20 |
| 1487058137 | Morrisville Family Dental, Plc | Dentist | 5 Park St., Suite 365, Morrisville, VT 05661 | 2014-10-09 |
| 1861809543 | Breanna Hart | Psychologist | 607 Washington Higway, Morrisville, VT 05661 | 2014-07-15 |
| 1770843575 | Chloe Tartaglia | Family Medicine | 577 Washington Hwy, Morrisville, VT 05661 | 2012-05-25 |
| 1770871832 | Carol Lehmann | Occupational Therapist | 74 Portland Street, Suite B, Morrisville, VT 05661 | 2011-07-11 |
| Find all providers in zip 05661 | ||||
| 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 |
|---|---|---|---|---|
| 1841859543 | Hassana Hameed Ansari | Dentist | 2200 Historic Cir, Morrisville, NC 27560-8152 | 2019-06-07 |
| 1972161958 | Sara Davis | Dentist | 65 Northgate Ave #11, Morrisville, VT 05661 | 2019-06-04 |
| 1336656446 | Bin Na | Dentist | 9648 Chapel Hill Rd # Set100, Morrisville, NC 27560-7844 | 2018-01-10 |
| 1134649858 | Umber Siddiqui | Dentist | 216 King Lear Ln, Morrisville, NC 27560-7530 | 2017-06-23 |
| 1942749718 | Jordan Ransome White | Dentist | 3607 Davis Dr Ste 209, Morrisville, NC 27560-6005 | 2017-02-14 |
| 1477966414 | Ekaterina Hamidzadeh | Dentist | 66 Morrisville Plz Ste 2, Morrisville, VT 05661-4482 | 2014-06-07 |
| 1538321583 | Pranathi Vangapalli Reddy | Dentist | 6207 Spruce Mill Dr, Morrisville, PA 19067-7291 | 2008-07-01 |
| 1447471727 | Clifford Wayne Gross | Dentist | 699 Doloro Dr, Morrisville, PA 19067-6828 | 2007-05-02 |
| 1871714451 | Edward Stevenson Bailey | Dentist | 100 Keybridge Drive, Suite D, Morrisville, NC 27560 | 2007-05-01 |
| 1841317625 | Paul A Anodide | Dentist | 799 W Trenton Ave, Morrisville, PA 19067-3508 | 2007-03-25 |
| Find all providers in MORRISVILLE | ||||
| City | MORRISVILLE |
| Zip Code | 05661 |
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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.