# TACONIC ESSENTIAL PRIMARY CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023829876
- **Authorized official:** MATTHEW T DAYTON LNA (CO OWNER / PRACTICE MANAGER)
- **Authorized official phone:** (802) 772-7107

## Contact information

- **Practice address:** 228 S MAIN ST APT 51, RUTLAND, VT 05701-4868
- **Practice address phone:** (802) 772-7107
- **Practice address fax:** (802) 772-9003
- **Mailing address:** PO BOX 1280, RUTLAND, VT 05701-1280
- **Mailing address phone:** (802) 772-7107
- **Mailing address fax:** (802) 772-9003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/20/2025
- **Last updated:** 08/24/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6712491 | — | VT |