Stanworth, Tyler
Stanworth, Tyler is an individual health care provider with primary practice located at 62 Merchants Row Ste 104 , Williston VT 05495-4476. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Stanworth, Tyler can be contacted via phone (802) 497-6310.Contact Information
Primary practice address
62 Merchants Row Ste 104
Williston VT 05495-4476
Phone: (802) 497-6310
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / General Practice | 1223G0001X | 016.0134180 | Vermont |
Profile Details
| NPI number | 1821703018 |
|---|---|
| LBN Legal business name | Stanworth, Tyler |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2023 |
| Last updated | May 2nd, 2023 - about 2 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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