Organization · Type 2 NPI

Five-Town Health Alliance, Inc

Dentist · Bristol, VT

NPI number 1013562636 Active

Practice location

61 Pine St
Bristol, VT 05443-1043

Fax (802) 453-2358

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	None listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

8 other providers at this address

NPI record

NPI: 1013562636
Entity type: Organization (Type 2)
Issued: Aug 9, 2019
Last updated: Sep 18, 2024
Status: Active
Subpart: Yes of Five-Town Health Alliance, Inc

Other names

<unavail>
Mountain Community Health · doing business as
Red Clover Family Dentistry · doing business as

Authorized official

Heidi Melbostad
Chief Executive Officer
(802) 453-5116

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013562636

Five-Town Health Alliance, Inc's National Provider Identifier is 1013562636, issued on Aug 9, 2019. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Bristol, VT. The record was last updated on Sep 18, 2024.