Champlain Periodontal P.C.

LBN: Champlain Periodontal P.C.
Champlain Periodontal P.C. is an health care organization with primary practice located at 37 Timber Ln , South Burlington VT 05403-5201. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Champlain Periodontal P.C. can be contacted via phone (802) 862-1435, or through Huber, Brian D via phone (802) 862-1435.

Contact Information

Primary practice address
37 Timber Ln South Burlington VT 05403-5201
Phone: (802) 862-1435
Fax: (802) 864-6998
Website:
Map and Directions
Authorized official contact:
Name: Huber, Brian D D.M.D., M.S.
Phone: (802) 862-1435

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 0160002033 Vermont

Profile Details

NPI number 1598884850
LBN Legal business name Champlain Periodontal P.C.
DBA Doing business as
Authorized official Huber, Brian D D.M.D., M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598884850 NPPES
Vermont MEDICAID 1006633

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