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JAMES V. WYLLIE DDS P.C. NPI 1760695597


NPI Information

NPI: 1760695597
Provider Name: JAMES V. WYLLIE, DDS P.C.

Other Name: BIRCHWOOD DENTAL ASSOCIATES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
212 PROUTY DR
SUITE 1
NEWPORT, VT
ZIP 05855
Phone: (802) 334-6965
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JAMES V. WYLLIE, DDS P.C. is a general practice dentist in Newport, VT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JAMES V. WYLLIE, DDS P.C. NPI is 1760695597. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Birchwood Dental Associates.

The provider's business location address is:

212 PROUTY DR
SUITE 1
NEWPORT, VT
ZIP 05855-851
Phone: (802) 334-6965
Fax: (802) 334-6606

The provider's authorized official is James Vincent Wyllie .
The authorized official title is Owner and has the following contact phone number (802) 334-6965.

The enumeration date for this NPI number is 5/8/2007 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
11223G0001XDentistGeneral Practice652VERMONTYes

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
1000-1845MEDICAIDVERMONT

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: 5/5/2024

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