Individual
DR. DOUGLAS EDWARD DENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 CARMICHAEL ST, UNIT 204, ESSEX JCT, VT 05452-3216
(802) 872-9263
(802) 872-8222
Mailing address
8 CARMICHAEL ST, UNIT 204, ESSEX JCT, VT 05452-3216
(802) 872-9263
(802) 872-8222
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0420007975
VT
2084P0804X
Child & Adolescent Psychiatry Physician
0420007975
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00009967
BCBS
VT
01
—
20P005
MVP
VT
01
—
71747
CIGNA
VT
05
—
9532
—
VT
Enumeration date
06/28/2005
Last updated
08/19/2015
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