Fasoli, Adam
Fasoli, Adam is an individual health care provider with primary practice located at 1330 Exchange St Ste 107 , Middlebury VT 05753-4464. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fasoli, Adam can be contacted via phone (802) 388-3553.Contact Information
Primary practice address
1330 Exchange St Ste 107
Middlebury VT 05753-4464
Phone: (802) 388-3553
Fax: (802) 388-7377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 016.0068107 | Vermont |
Profile Details
| NPI number | 1770804429 |
|---|---|
| LBN Legal business name | Fasoli, Adam |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2010 |
| Last updated | Jun 17th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770804429 | NPPES |
| Vermont | Other | 016.0068107 | VERMONT STATE LICENSE |
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