Individual
DR. BRENT BABER COFFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
119 UNION ST, BENNINGTON, VT 05201-2406
(802) 442-4663
Mailing address
119 UNION ST, BENNINGTON, VT 05201-2406
(802) 442-4663
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016-0001082
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002915
—
VT
Enumeration date
01/17/2007
Last updated
07/08/2007
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