NPI 1487769659

Paul Leo Davoren, DDS

Practitioner Dentist Plainfield, VT

Practice location

Address: 157 Town Ave, Plainfield, VT 05667-0320
Phone: (802) 454-1057
Fax: (802) 454-8339
Mailing address: PO Box 320, Plainfield, VT 05667-0320

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 0160000796 (VT)

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Registry record

NPI: 1487769659
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Aug 2006
Record last updated: 6 Dec 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.