ST. JOHNSBURY DENTAL ASSOCIATES INC. (NPI# 1922024546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922024546 |
| Entity Type | Organization |
| Organization Name | ST. JOHNSBURY DENTAL ASSOCIATES INC. |
| Practice Address |
1 Place Notre Dame St Johnsbury VT 05819-2223 |
| Practice Telephone | 8027489357 |
| Mailing Telephone | 8027489357 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID EDWARD MCLEAN (OWNER) |
| Authorized Official Telephone | 8027489357 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1001942 | 05 |
| Street Address |
1 PLACE NOTRE DAME |
| City | ST JOHNSBURY |
| State | VT |
| Zip Code | 05819-2223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922526813 | Darren Boles Dds Pllc | Clinic/Center | 1 Place Notre Dame, St Johnsbury, VT 05819-2223 | 2017-08-31 |
| 1871970145 | Paul Kenworthy Dmd PC | Durable Medical Equipment & Medical Supplies | 1 Place Notre Dame, St Johnsbury, VT 05819-2223 | 2015-05-06 |
| 1568800464 | Zongjian Jia | Dentist | 1 Place Notre Dame, St Johnsbury, VT 05819-2223 | 2013-06-13 |
| 1306166384 | Aaron Mark Layton | Dentist | 1 Place Notre Dame, St Johnsbury, VT 05819-2223 | 2010-06-01 |
| 1144244575 | Peter G Miller | Dentist | 1 Place Notre Dame, St Johnsbury, VT 05819-2223 | 2006-07-27 |
| 1144249343 | James T Berrier | Dentist | 1 Place Notre Dame, St Johnsbury, VT 05819-2223 | 2006-07-19 |
| 1699792192 | Katherine Ann Silloway | Dentist | 1 Place Notre Dame, St Johnsbury, VT 05819-2223 | 2006-07-17 |
| 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 | 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 |
|---|---|---|---|---|
| 1932283488 | Ronald E Ducham | Dentist | 501 Portland St, St Johnsbury, VT 05819-2054 | 2006-10-24 |
| 1730101957 | Richard Kozlowski Jr. | Dentist | 1229 Main St, St Johnsbury, VT 05819-2697 | 2006-07-24 |
| 1639795149 | Courtney Kozlowski | Dentist | 1229 Main St, St Johnsbury, VT 05819-2697 | 2020-06-20 |
| 1568800464 | Zongjian Jia | Dentist | 1 Place Notre Dame, St Johnsbury, VT 05819-2223 | 2013-06-13 |
| 1972690105 | Hawkins Dental Group | Dentist | 1350 Main St, Suite 1, St Johnsbury, VT 05819-2243 | 2006-10-09 |
| 1144244575 | Peter G Miller | Dentist | 1 Place Notre Dame, St Johnsbury, VT 05819-2223 | 2006-07-27 |
| 1144249343 | James T Berrier | Dentist | 1 Place Notre Dame, St Johnsbury, VT 05819-2223 | 2006-07-19 |
| 1699792192 | Katherine Ann Silloway | Dentist | 1 Place Notre Dame, St Johnsbury, VT 05819-2223 | 2006-07-17 |
| 1457396103 | Hubert Hawkins | Dentist | 1350 Main St, Suite 1, St Johnsbury, VT 05819-2243 | 2006-06-17 |
| 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 | ||||
| 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.