Champlain Dental Group, Ltd

LBN: Champlain Dental Group, Ltd
Champlain Dental Group, Ltd is an health care organization with primary practice located at 150 Dorset St Suite 260, South Burlington VT 05403-6256. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Champlain Dental Group, Ltd can be contacted via phone (802) 863-5335, or through Templeton, Jennifer via phone (802) 863-5335.

Contact Information

Primary practice address
150 Dorset St Suite 260 South Burlington VT 05403-6256
Fax: (802) 863-9087
Website:
Authorized official contact:
Name: Templeton, Jennifer

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1891919924
LBN Legal business name Champlain Dental Group, Ltd
DBA Doing business as
Authorized official Templeton, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891919924 NPPES
Vermont MEDICAID 1003294

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