Individual
DR. TOBY P KRAVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
303 US ROUTE 5 S, SUITE 4, NORWICH, VT 05055-9508
(802) 649-2630
(802) 649-1709
Mailing address
303 US ROUTE 5 S, SUITE 4, NORWICH, VT 05055-9508
(802) 649-2630
(802) 649-1709
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
934
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002565
—
VT
01
—
15013
DHMC BILLING
VT
01
—
6218
BC/BS
VT
Enumeration date
08/14/2006
Last updated
07/08/2007
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