Nawotka, Edward E
Nawotka, Edward E is an individual health care provider with primary practice located at 150 Dorset St Suite 260, South Burlington VT 05403-6256. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Nawotka, Edward E can be contacted via phone (802) 863-5335.Contact Information
Primary practice address
150 Dorset St Suite 260
South Burlington VT 05403-6256
Phone: (802) 863-5335
Fax: (802) 863-9087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1050 | Vermont |
Profile Details
| NPI number | 1043434111 |
|---|---|
| LBN Legal business name | Nawotka, Edward E |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Jun 10th, 2024 - about last year |
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 | 1043434111 | NPPES |
| Vermont | MEDICAID | 1003295 | |
| Vermont | Other | 745217 | |
| Vermont | Other | 919-18741 |
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