Organization
MIDDLEBURY PEDIATRIC DENTISTRY, PLLC
Active
Other names
Middlebury Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN D COLLINS DDS (OWNER / MEMBER)
(802) 388-0909
Entity
Organization
Contact information
Practice address
132 S VILLAGE GRN, MIDDLEBURY, VT 05753-6900
(802) 388-0909
(802) 989-7095
Mailing address
132 S VILLAGE GRN, MIDDLEBURY, VT 05753-6900
(802) 388-0909
(802) 989-7095
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022015
—
VT
Enumeration date
06/23/2020
Last updated
06/23/2020
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