NPI 1871822627

Shelburne Restorative Dentistry

Organisation General Practice Dentistry Shelburne, VT

Practice location

Address: 41 Falls Road, Shelburne, VT 05482-0471
Phone: (802) 985-9700
Fax: (802) 985-0134
Mailing address: P.O. Box 471, Shelburne, VT 05482-0471

Authorised official

Name: Philippe D Charlebois
Title: Dentist
Phone: (802) 985-9700

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 016.0002291 (VT)

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Registry record

NPI: 1871822627
Entity type: Organization
NPI issued: 8 Dec 2009
Record last updated: 28 Feb 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.