Family Dental Associates
LBN: Family Dental Associates
Family Dental Associates is an health care organization with primary practice located at 4 General Wing Rd , Rutland VT 05701-4682. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Family Dental Associates can be contacted via phone (802) 775-0819, or through Kolodzej, Robert Stephen via phone (802) 775-0819.
Contact Information
Primary practice address
4 General Wing Rd
Rutland VT 05701-4682
Phone: (802) 775-0819
Fax: (802) 775-1487
Website:
Authorized official contact:
Name: Kolodzej, Robert Stephen Doctor of Dental Medicine (DMD)
Phone: (802) 775-0819
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 769 | Vermont |
| Dental Providers / General Practice | 1223G0001X | 871 | Vermont |
| Dental Providers / General Practice | 1223G0001X | 1112 | Vermont |
Profile Details
| NPI number | 1487853644 |
|---|---|
| LBN Legal business name | Family Dental Associates |
| DBA Doing business as | |
| Authorized official | Kolodzej, Robert Stephen Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 17th, 2007 |
| Last updated | Jul 17th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487853644 | NPPES |
| Vermont | Other | FAMI2398 | BLUE CROSS BLUE SHIELD |
| Vermont | MEDICAID | 1000430 | BLUE CROSS BLUE SHIELD |
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