Timberlane Dental Group
LBN: Timberlane Dental Group
Timberlane Dental Group is an health care organization with primary practice located at 60 Timber Ln , South Burlington VT 05403-7204. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty.
Timberlane Dental Group can be contacted via phone (802) 264-6909, or through Watson, Dorothy via phone (802) 264-6909.
Contact Information
Primary practice address
60 Timber Ln
South Burlington VT 05403-7204
Phone: (802) 264-6909
Fax: (802) 862-8942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | ||
| Dental Providers / Periodontics | 1223P0300X | ||
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X |
Profile Details
| NPI number | 1326139130 |
|---|---|
| LBN Legal business name | Timberlane Dental Group |
| DBA Doing business as | |
| Authorized official | Watson, Dorothy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326139130 | NPPES |
| Vermont | MEDICAID | 0001680 |
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