Salem, Justin Peter

Salem, Justin Peter is an individual health care provider with primary practice located at 107 Elm St , Bennington VT 05201-2249. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Salem, Justin Peter can be contacted via phone (802) 447-7147.

Contact Information

Primary practice address
107 Elm St Bennington VT 05201-2249
Phone: (802) 447-7147
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1238 Vermont

Profile Details

NPI number 1558340299
LBN Legal business name Salem, Justin Peter
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558340299 NPPES
Vermont MEDICAID 1005225

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