Organization
TIMBERLANE DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOROTHY WATSON (ADMINISTRATOR)
(802) 264-6909
Entity
Organization
Contact information
Practice address
60 TIMBER LN, SOUTH BURLINGTON, VT 05403-7204
(802) 264-6909
(802) 862-8942
Mailing address
60 TIMBER LN, SOUTH BURLINGTON, VT 05403-7204
(802) 264-6909
(802) 862-8942
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001680
—
VT
Enumeration date
09/27/2006
Last updated
09/11/2025
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