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Organization
CHITTENDEN DENTAL
Active
Organization
CHITTENDEN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MORRIS DDS (OWNER)
(772) 418-2612
Entity
Organization
Contact information
Practice address
258 PEARL ST, BURLINGTON, VT 05401-8573
(802) 863-4146
Mailing address
258 PEARL ST, BURLINGTON, VT 05401-8573
(802) 863-4146
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
VT016.0107639
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760893176
PERSONAL NPI NUMBER
—
Enumeration date
04/02/2018
Last updated
04/02/2018
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