Organization
SALLY A. BISHKO,DDS
Active
Other names
River Station Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALLY ANN BISHKO D.D.S. (OWNER)
(802) 223-2244
Entity
Organization
Contact information
Practice address
535 STONE CUTTERS WAY, SUITE 103, MONTPELIER, VT 05602-3795
(802) 223-2244
(802) 223-1283
Mailing address
535 STONE CUTTERS WAY, SUITE 103, MONTPELIER, VT 05602-3795
(802) 223-2244
(802) 223-1283
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
847
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY NUMBER
—
05
—
1012461
—
VT
Enumeration date
01/27/2007
Last updated
08/22/2020
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