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Organization
ALPINE FAMILY DENTAL LLC
Active
Organization
ALPINE FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN MONROE PITMON D.D.S. (OWNER)
(802) 862-5052
Entity
Organization
Contact information
Practice address
875 ROOSEVELT HWY, SUITE 110, COLCHESTER, VT 05446-4460
(802) 862-5052
(802) 660-3991
Mailing address
875 ROOSEVELT HWY, SUITE 110, COLCHESTER, VT 05446-4460
(802) 862-5052
(802) 660-3991
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
016-0001072
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003378
—
VT
01
—
1437153798
TYPE 1 NPI
—
Enumeration date
05/07/2007
Last updated
01/28/2020
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