CHAMPLAIN PERIODONTAL P.C. NPI 1598884850

NPI Information

  • NPI: 1598884850
  • Provider Name: CHAMPLAIN PERIODONTAL P.C.
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 37 TIMBER LN
    SOUTH BURLINGTON, VT
    ZIP 05403
  • Phone: (802) 862-1435

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NPI Details

CHAMPLAIN PERIODONTAL P.C. is a periodontics dentist in South Burlington, VT. The provider is 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. CHAMPLAIN PERIODONTAL P.C. NPI is 1598884850. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

37 TIMBER LN
SOUTH BURLINGTON, VT
ZIP 05403-201
Phone: (802) 862-1435
Fax: (802) 864-6998

The provider's authorized official is Brian D Huber .
The authorized official title is Owner and has the following contact phone number (802) 862-1435.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodontics0160002033VERMONTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11006633MEDICAIDVERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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