Organization
HARDWICK DENTAL GROUP P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA RICHARDSON (PRACTICE ADMINISTRATOR)
(802) 472-5005
Entity
Organization
Contact information
Practice address
49 WEST CHRUCH STREET, HARDWICK, VT 05843
(802) 472-5005
(802) 472-3109
Mailing address
49 WEST CHRUCH STREET, PO BOX 555, HARDWICK, VT 05843
(802) 472-5005
(802) 472-3109
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1793
—
VT
Enumeration date
04/25/2006
Last updated
08/22/2020
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