Giulianelli, Matthew David

Giulianelli, Matthew David is an individual health care provider with primary practice located at 110 Kimball Ave Suite 230, South Burlington VT 05403. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Giulianelli, Matthew David can be contacted via phone (802) 864-6264.

Contact Information

Primary practice address
110 Kimball Ave Suite 230 South Burlington VT 05403
Phone: (802) 864-6264
Fax: (802) 864-6402
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 053862 New York
Dental Providers / General Practice 1223G0001X 016-0002229 Vermont

Profile Details

NPI number 1730238593
LBN Legal business name Giulianelli, Matthew David
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Oct 11th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730238593 NPPES
Vermont Other 00069459 BLUECROSS BLUESHIELD
Vermont MEDICAID 1012935 BLUECROSS BLUESHIELD
Vermont Other 412187837 BLUECROSS BLUESHIELD

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