NPI 1174836647

Nathan a Bouchard, DDS

Practitioner Dentist Richford, VT

Practice location

Address: 44 Main Street Richford Health Center Dental Clinic, Richford, VT 05476
Phone: (802) 255-5520

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 016.0069455 (VT)

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Registry record

NPI: 1174836647
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jul 2010
Record last updated: 26 Jul 2010

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.