Organization
NORTHERN COUNTIES HEALTH CARE
Active
Other names
Orleans Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN TESTER (CEO)
(802) 748-9405
Entity
Organization
Contact information
Practice address
11 UNION ST, ORLEANS, VT 05860-1218
(802) 754-6973
Mailing address
11 UNION ST, ORLEANS, VT 05860-1218
(802) 754-6973
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009361
—
VT
Enumeration date
08/17/2016
Last updated
08/17/2016
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