Hibbs, Agnes Mary

Hibbs, Agnes Mary is an individual health care provider with primary practice located at 1362 Williston Road , So Burlington VT 05403-6416. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Hibbs, Agnes Mary can be contacted via phone (802) 862-0927.

Contact Information

Primary practice address
1362 Williston Road So Burlington VT 05403-6416
Fax: (802) 864-7071
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0160001003 Vermont

Profile Details

NPI number 1518006790
LBN Legal business name Hibbs, Agnes Mary
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518006790 NPPES
Vermont MEDICAID 1001646

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