Grimes, Susan Ann
Grimes, Susan Ann is an individual health care provider with primary practice located at 30 Shelburne Shopping Park , Shelburne VT 05482-7488. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Grimes, Susan Ann can be contacted via phone (802) 983-3500.Contact Information
Primary practice address
30 Shelburne Shopping Park
Shelburne VT 05482-7488
Phone: (802) 983-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | VT 966 | Vermont |
Profile Details
| NPI number | 1710913157 |
|---|---|
| LBN Legal business name | Grimes, Susan Ann |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1710913157 | NPPES |
| Vermont | MEDICAID | 1002660 |
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