# STEVEN C. DUBOFF, DMD, PC

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

## Provider details

- **NPI number:** 1568692515
- **Authorized official:** DR. STEVEN C DUBOFF DMD (PRESIDENT)
- **Authorized official phone:** (802) 773-1393

## Contact information

- **Practice address:** 198 NORTH MAIN ST, RUTLAND, VT 05701
- **Practice address phone:** (802) 773-1393
- **Practice address fax:** (802) 773-1423
- **Mailing address:** 198 NORTH MAIN ST, RUTLAND, VT 05701
- **Mailing address phone:** (802) 773-1393
- **Mailing address fax:** (802) 773-1423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 016 0002240 | VT | Yes |
| 1223P0300X | Periodontics | 016-0002241 | — | — |

## Other

- **Enumeration date:** 07/23/2009
- **Last updated:** 07/23/2009