NPI 1053751164

Shelburne Dental Services, P.C.

Organisation General Practice Dentistry Shelburne, VT

Practice location

Address: 30 Shelburne Shopping Park, Shelburne, VT 05482-7488
Phone: (802) 985-3500
Fax: (802) 985-2979
Mailing address: 267 Pearl St Unit B1, Burlington, VT 05401-8543

Authorised official

Name: Nathan Bouchard
Title: Owner/Dentist
Phone: (603) 320-4994

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 016-60069455 (VT)

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Registry record

NPI: 1053751164
Entity type: Organization
NPI issued: 3 Jul 2013
Record last updated: 3 Jul 2013

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.