Individual
DR. BRIAN ANDREW COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
132 S VILLAGE GRN, MIDDLEBURY, VT 05753-6900
(802) 388-0909
Mailing address
132 S VILLAGE GRN, MIDDLEBURY, VT 05753-6900
(802) 388-0909
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
016.0133932
VT
1223P0221X
Pediatric Dentistry
DN1858008
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6704285
—
VT
Enumeration date
06/14/2018
Last updated
07/21/2020
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