NPI 1295803005

Bentley A. Merrick, D.M.D. P.C.

Organisation Prosthodontics South Burlington, VT

Practice location

Address: 1050 Hinesburg Rd, South Burlington, VT 05403-7621
Phone: (802) 864-3827
Fax: (802) 859-0912
Mailing address: 1050 Hinesburg Road P.O. Box 2225, South Burlington, VT 05407-2225

Authorised official

Name: Bentley Atwood Howe Merrick
Title: President
Phone: (802) 864-3827

Registered specialties

Prosthodontics Primary

Dental Providers Taxonomy 1223P0700X Licence 016-0001194 (VT)

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Registry record

NPI: 1295803005
Entity type: Organization
NPI issued: 1 Dec 2006
Record last updated: 23 Nov 2011

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.