Taconic Dental Arts Pc

LBN: Taconic Dental Arts Pc
Taconic Dental Arts Pc is an health care organization with primary practice located at 163 Jackson Ave , Rutland VT 05701-4500. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Taconic Dental Arts Pc can be contacted via phone (802) 442-9500, or through Carmack, Tyler Justin via phone (802) 773-1020.

Contact Information

Primary practice address
163 Jackson Ave Rutland VT 05701-4500
Phone: (802) 442-9500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carmack, Tyler Justin Doctor of Dental Medicine (DMD)
Phone: (802) 773-1020

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0160073365 Vermont

Profile Details

NPI number 1417408717
LBN Legal business name Taconic Dental Arts Pc
DBA Doing business as
Authorized official Carmack, Tyler Justin Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2016
Last updated Feb 23rd, 2018 - about 7 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.

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