NPI 1063786374

Williston Road Family Dental , Plc

Organisation Dental Clinic/Center South Burlington, VT

Practice location

Address: 1340 Williston Rd, South Burlington, VT 05403-6469
Phone: (802) 863-0505

Authorised official

Name: Dan Melo
Title: Owner/Dentist
Phone: (802) 863-0505

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 0160002103 (VT)

Other Clinic/Center providers in Vermont →

Registry record

NPI: 1063786374
Entity type: Organization
NPI issued: 5 Mar 2012
Record last updated: 5 Mar 2012

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.