MIDDLEBURY DENTAL GROUP (NPI# 1851404271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851404271 |
| Entity Type | Organization |
| Organization Name | MIDDLEBURY DENTAL GROUP |
| Practice Address |
1330 Exchange St Middlebury VT 05753-4425 |
| Practice Telephone | 8023883553 |
| Practice Fax Number | 8023887377 |
| Mailing Telephone | 8023883553 |
| Mailing Fax Number | 8023887377 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2010-01-05 |
| Authorized Official Name | KIM RODERICK MONTGOMERY (OWNER/DENTIST) |
| Authorized Official Telephone | 8023883553 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | MIDDLEBURY DENTAL GROUP | 130 Exchange Street, Middlebury, VT |
| Street Address |
1330 EXCHANGE ST |
| City | MIDDLEBURY |
| State | VT |
| Zip Code | 05753-4425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609864768 | Linn Larson | Family Medicine | 1330 Exchange St, Middlebury, VT 05753-4464 | 2005-10-12 |
| 1427402700 | Meredith Walker Hanson | Nurse Practitioner | 1330 Exchange St, Suite 201, Middlebury, VT 05753-4464 | 2016-04-22 |
| 1497161640 | Mahmoud A Hayyat | Technician/Technologist | 1330 Exchange St, Suite 101, Middlebury, VT 05753-4464 | 2014-07-09 |
| 1023384500 | Francisco Jaime Corbalan | Pediatrics | 1330 Exchange St, Suite 201, Middlebury, VT 05753-4464 | 2012-03-28 |
| 1356590889 | Erik Stephen Vose | Chiropractor | 1330 Exchange St, Suite 105, Middlebury, VT 05753-4464 | 2008-09-09 |
| 1790901015 | Brian Darnell Collins | Dentist | 1330 Exchange St, Suite 107, Middlebury, VT 05753-4464 | 2007-04-17 |
| 1417074154 | Mcdaniel Chiropractic Center, Inc. | Chiropractor | 1330 Exchange St, Ste 105, Middlebury, VT 05753-4425 | 2007-03-26 |
| 1144354853 | Jean Andersson-swayze | Family Medicine | 1330 Exchange St, Middlebury, VT 05753-4464 | 2007-03-15 |
| 1528191202 | Michael David Seaton | Pediatrics | 1330 Exchange St, Middlebury Pediatric and Adolescent Medicine, Middlebury, VT 05753-4464 | 2007-03-13 |
| 1306922489 | James Mcdaniel | Chiropractor | 1330 Exchange St, Ste 105, Middlebury, VT 05753-4425 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760997233 | Julia M. Pipiras | Massage Therapist | 99 Maple St., Marble Works, Middlebury, VT 05753 | 2017-12-06 |
| 1487017117 | Hope W Martin | Counselor | 135 South Pleasant St., Middlebury, VT 05753 | 2016-03-31 |
| 1487052593 | Ania Mortier | Nurse Practitioner | 102 A Court St, Middlebury, VT 05753 | 2014-12-06 |
| 1427471655 | Nancy Spears | Counselor | 7 Seymour St Ste 4, Middlebury, VT 05753 | 2014-01-23 |
| 1679862676 | Daly Dental | Dentist | 152 Maple Street, Suite 201, Middlebury, VT 05753 | 2011-03-31 |
| 1033432695 | James G Daly D.d.s. | Dentist | 152 Maple St., Ste. 201, Middlebury, VT 05753 | 2010-03-10 |
| 1497986855 | Maxine Elizabeth Fidler | Acupuncturist | 31 Court Street, Middlebury, VT 05753 | 2009-08-04 |
| 1629289426 | Gary Francis Margolis | Psychologist | 302 Centeno House Route 30, Middlebury, VT 05753 | 2007-05-24 |
| 1578697884 | Elise Marie Mcclintock | Nurse Practitioner | 5110 Middlebury College, Middlebury, VT 05753 | 2007-03-16 |
| 1982735890 | Adam Brightman | Social Worker | 1740 Delong Road, Cornwall, VT 05753 | 2007-03-09 |
| Find all providers in zip 05753 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649690173 | Arsalan Elahi | Dentist | 1625 Straits Tpke Ste 210, Middlebury, CT 06762-1836 | 2014-04-23 |
| 1770804429 | Adam Fasoli | Dentist | 1330 Exchange St Ste 107, Middlebury, VT 05753-4464 | 2010-06-17 |
| 1033432695 | James G Daly D.d.s. | Dentist | 152 Maple St., Ste. 201, Middlebury, VT 05753 | 2010-03-10 |
| 1417114455 | John Kanca IIi | Dentist | 390 Middlebury Rd, Middlebury, CT 06762-2634 | 2008-05-19 |
| 1568681179 | Richard N. Smith, Dds, PC | Dentist | 415 Middlebury Rd, Middlebury, CT 06762-2537 | 2007-04-24 |
| 1417086653 | John C Langfeldt | Dentist | 9 Court St, Middlebury, VT 05753-1470 | 2007-03-05 |
| 1205962487 | Harvey Jay Green | Dentist | 57 Court St, Middlebury, VT 05753-1406 | 2007-02-24 |
| 1134287931 | Bartley L Larrow Jr. | Dentist | 80 Court St, Middlebury, VT 05753-1419 | 2006-12-05 |
| 1013027531 | Joy Kathleen Lunan | Dentist | 819 Straits Tpke, Middlebury, CT 06762-2847 | 2006-08-30 |
| 1235148313 | David P Regan | Dentist | 1004 Spring Arbor Dr, Middlebury, IN 46540-9493 | 2006-08-06 |
| Find all providers in MIDDLEBURY | ||||
| City | MIDDLEBURY |
| Zip Code | 05753 |
Please comment or provide details below to improve the information on MIDDLEBURY DENTAL GROUP.
| 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.