Organization
JAMES K. COSSAART DDS PC
Active
Other names
Bristol Park Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH COSSAART (OFFICE MANAGER)
(802) 453-7700
Entity
Organization
Contact information
Practice address
6 PARK PL, BRISTOL, VT 05443-1229
(802) 453-7700
(802) 453-7748
Mailing address
6 PARK PL, BRISTOL, VT 05443-1229
(802) 453-7700
(802) 453-7748
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006674
—
VT
Enumeration date
08/13/2019
Last updated
08/13/2019
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