Librizzi, Theodore
Librizzi, Theodore is an individual health care provider with primary practice located at 1 Kennedy Drive Suite 5, South Burlington VT 05403. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Librizzi, Theodore can be contacted via phone (802) 859-9441.Contact Information
Primary practice address
1 Kennedy Drive Suite 5
South Burlington VT 05403
Phone: (802) 859-9441
Fax: (802) 862-2424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 0160000947 | Vermont |
Profile Details
| NPI number | 1124140280 |
|---|---|
| LBN Legal business name | Librizzi, Theodore |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124140280 | NPPES |
| Vermont | MEDICAID | 1002638 |
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