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Organization
JAMES V. WYLLIE, DDS P.C.
Active
Organization
JAMES V. WYLLIE, DDS P.C.
Active
Other names
Birchwood Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES VINCENT WYLLIE D.D.S. (OWNER)
(802) 334-6965
Entity
Organization
Contact information
Practice address
212 PROUTY DR, SUITE 1, NEWPORT, VT 05855-9851
(802) 334-6965
(802) 334-6606
Mailing address
212 PROUTY DR, SUITE 1, NEWPORT, VT 05855-9851
(802) 334-6965
(802) 334-6606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
652
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000-1845
—
VT
Enumeration date
05/08/2007
Last updated
08/22/2020
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