MEDICARE: AFFILIATES IN DENTAL CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center		VT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386660082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFILIATES IN DENTAL CARE, INC.

Provider Business Mailing Address
First Line	:	9 WASHINGTON ST
Second Line	:
City	:	RUTLAND
State	:	VT
Zip	:	05701-5021
Country	:	US
Telephone Number	:	802-773-6966
Fax Number	:	802-773-6924

Provider Business Practice Location Address
First Line	:	9 WASHINGTON ST
Second Line	:
City	:	RUTLAND
State	:	VT
Zip	:	05701-5021
Country	:	US
Telephone Number	:	802-773-6966
Fax Number	:	802-773-6924

Authorized Official
Title or Position	:	OFFICE ADMINISTRATOR
Name	:	MR. RONALD CLINTON LEWIS
Credential	:
Telephone Number	:	802-773-6966

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	07/21/2022

Similar Medicare Providers

1417973108 — DR. BERNARD F. BUTEAU DDS
Practice Location Address:

9 WASHINGTON ST
RUTLAND, VT
05701-5021

Practice Phone: 802-773-6966
Practice Fax: 802-773-6924

1447193347 — ALEXIS MARGARET EMERY
Practice Location Address:

163 STRATTON RD
RUTLAND, VT
05701-4619

Practice Phone: 802-305-6422
Practice Fax: 802-213-1926

1770425902 — KATHRYN ANDREWS
Practice Location Address:

78 S MAIN ST
RUTLAND, VT
05701-4594

Practice Phone: 802-775-2381
Practice Fax:

1063415313 — KARIE SHELTON PA-C
Practice Location Address:

10 COMMONS ST
RUTLAND, VT
05701-4651

Practice Phone: 802-747-3359
Practice Fax: 802-786-5204

1013913003 — DR. ROBERT W HARTENSTEIN AU.D.
Practice Location Address:

69 ALLEN ST , STE 2
RUTLAND, VT
05701-4564

Practice Phone: 802-773-8469
Practice Fax: 802-773-0017

1306843537 — DR. MARY M BEERWORTH M.D.
Practice Location Address:

147 ALLEN STREET
RUTLAND, VT
05701-4570

Practice Phone: 802-775-1901
Practice Fax: 802-773-2867

Directions to “AFFILIATES IN DENTAL CARE, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.