MARY C SQUIRE DDS PC (NPI# 1285858068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285858068 |
| Entity Type | Organization |
| Organization Name | MARY C SQUIRE DDS PC |
| Other Organization Name | MARY C SQUIRE DDS |
| Practice Address |
3429 Richville Rd Manchester Ct VT 05255 |
| Mailing Address |
Po Box 1724 Manchester Center VT 05255 |
| Practice Telephone | 8023669119 |
| Practice Fax Number | 8023669099 |
| Mailing Telephone | 8023669119 |
| Mailing Fax Number | 8023669099 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARY C SQUIRE (PRESIDENT) |
| Authorized Official Telephone | 8023669119 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 041234 | NY | Dental Providers |
| Y | 122300000X | Dentist | 1079 | VT | Dental Providers |
| Other Name | Type Code |
|---|---|
| Mary C Squire DDS | Former Legal Business Name - Organization |
| Street Address |
3429 RICHVILLE RD |
| City | MANCHESTER CT |
| State | VT |
| Zip Code | 05255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920031 | Dakota Malik | Naturopath | 5138 Main Sreet, Manchester Center, VT 05255 | 2020-10-21 |
| 1619502648 | Kathleen Baroody | Counselor | 5312 Main Steet, Manchester Center, VT 05255 | 2020-03-10 |
| 1255971917 | Katherine Alice Schlageter | Psychologist | 5429 Main Street, Office C-2, Manchester Center, VT 05255 | 2020-01-10 |
| 1316332075 | Green Mountain House Calls, LLC | Nurse Practitioner | 994 Dorset West Road, Dorset, VT 05255 | 2015-03-31 |
| 1962727826 | Tamra F Mooney | Occupational Therapist | 3511 Richville Rd, Manchester, VT 05255 | 2010-04-05 |
| 1760649214 | Eric R Nisenson | Durable Medical Equipment & Medical Supplies | 7252 Main Street, Manchester Center, VT 05255 | 2008-05-21 |
| 1659591774 | Manchester Eye Care PC | Technician/Technologist | Village Mall 4363 Rte 7a, Manchester Center, VT 05255 | 2007-04-30 |
| 1306979687 | Geoffry Lee Campe | Dentist | 107 Bonnet St, Manchester Center, VT 05255 | 2007-03-14 |
| 1316087828 | John Ottesen | Dentist | 74 Longview Drive, Manchester Center, VT 05255 | 2007-02-07 |
| 1568526226 | Catherine Cech | Dentist | 5271 Main Street, Manchester Ctr, VT 05255 | 2006-12-20 |
| Find all providers in zip 05255 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093282972 | Markus Richard | Dentist | 1 Place Notre Dame # 1, St Johnsbury, VT 05819-2521 | 2018-10-29 |
| 1659856847 | Ushma Vyas | Dentist | 55 Route 11 W, Chester, VT 05143 | 2018-10-03 |
| 1275059644 | Southwestern Vermont Medical Center, Inc | Dentist | 140 Hospital Dr Ste 104, Bennington, VT 05201-5010 | 2017-08-17 |
| 1194246835 | Meghrajsinh V Atodaria | Dentist | 44 Main St Ste 400, Richford, VT 05476-1141 | 2017-07-03 |
| 1952821043 | Leonard Giordano Jr. | Dentist | 72 High St Ste 1, Brattleboro, VT 05301-6990 | 2017-06-21 |
| 1508398272 | James Baker | Dentist | 110 Kimball Ave Ste 210, South Burlington, VT 05403-6841 | 2017-03-31 |
| 1609224344 | Nusi Peczi Brown | Dentist | 180 Grove St, Rutland, VT 05701-2904 | 2016-06-02 |
| 1750739801 | Eric Charest | Dentist | 494 Highland Ave Ste 1, Newport, VT 05855-4919 | 2016-05-31 |
| 1356797153 | Katie Piet | Dentist | 1 Notre Dame Pl, St Johnsbury, VT 05819-2223 | 2016-05-11 |
| 1003279290 | Riley Baldwin | Dentist | 61 Saint Peter St # B, Winooski, VT 05404-1316 | 2016-04-04 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER CT |
| Zip Code | 05255 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.