Individual
DR. JEREMY MAC CLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
677 VT ROUTE 7A, SHAFTSBURY, VT 05262-9548
(802) 442-7300
Mailing address
677 VT ROUTE 7A, SHAFTSBURY, VT 05262-9548
(802) 442-7300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
016.0111405
VT
1223G0001X
General Practice Dentistry
Primary
016.0111405
VT
Other
Enumeration date
05/26/2015
Last updated
06/08/2015
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