Organization
CHAMPLAIN DENTAL GROUP, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER TEMPLETON (PRACTICE MANAGER)
(802) 863-5335
Entity
Organization
Contact information
Practice address
150 DORSET ST, SUITE 260, SOUTH BURLINGTON, VT 05403-6256
(802) 863-5335
(802) 863-9087
Mailing address
150 DORSET ST, SUITE 260, SOUTH BURLINGTON, VT 05403-6256
(802) 863-5335
(802) 863-9087
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003294
—
VT
Enumeration date
04/12/2007
Last updated
08/22/2020
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