Organization
ST. JOHNSBURY DENTAL ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID EDWARD MCLEAN DDS (OWNER)
(802) 748-9357
Entity
Organization
Contact information
Practice address
1 PLACE NOTRE DAME, ST JOHNSBURY, VT 05819-2223
(802) 748-9357
Mailing address
1 PLACE NOTRE DAME, ST JOHNSBURY, VT 05819-2223
(802) 748-9357
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001942
—
VT
Enumeration date
07/15/2006
Last updated
08/22/2020
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