Individual
STEPHEN HIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
189 N MAIN ST, BARRE, VT 05641-4184
(802) 476-6785
(802) 476-4339
Mailing address
189 N MAIN ST, BARRE, VT 05641-4184
(802) 476-6785
(802) 476-4339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0160001078
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0160001078
LICENSE #
VT
05
—
1002251
—
VT
Enumeration date
07/10/2006
Last updated
07/09/2007
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