Red Clover Family Dentistry

LBN: Five-Town Health Alliance, Inc
Red Clover Family Dentistry is an health care organization with primary practice located at 61 Pine St , Bristol VT 05443-1043. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Five-Town Health Alliance, Inc can be contacted via phone (802) 453-3911, or through Wisdom-Behounek, Jennifer A via phone (802) 453-5116.

Contact Information

Primary practice address
61 Pine St Bristol VT 05443-1043
Phone: (802) 453-3911
Fax: (802) 453-2358
Website:
Map and Directions
Authorized official contact:
Name: Wisdom-Behounek, Jennifer A Doctor of Medicine (MD)
Phone: (802) 453-5116

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1013562636
LBN Legal business name Five-Town Health Alliance, Inc
DBA Doing business as Red Clover Family Dentistry
Authorized official Wisdom-Behounek, Jennifer A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 9th, 2019
Last updated Jul 2nd, 2024 - about 2 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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