Organization · Type 2 NPI

Champlain Periodontal P.c.

Periodontics · South Burlington, VT

NPI number 1598884850 Active

Practice location

37 Timber Ln
South Burlington, VT 05403-5201

Fax (802) 864-6998

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X0160002033 (VT)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1598884850

Champlain Periodontal P.c.'s National Provider Identifier is 1598884850, issued on Mar 28, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in South Burlington, VT. The record was last updated on Aug 22, 2020.