NPI 1003423112
Candid Vermont, PLLC
Practice location
- Address
- 145 Pine Haven Shores Rd STE 1000o, Shelburne, VT 05482-7812
- Phone
- (860) 481-7631
Authorised official
- Name
- Richard D'Avanzo
- Title
- DDS
- Phone
- (860) 481-7631
Registered specialties
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
Registry record
- NPI
- 1003423112
- Entity type
- Organization
- NPI issued
- 23 Sep 2020
- Record last updated
- 23 Sep 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.