Healthcare Provider Details

I. General information

NPI: 1447248919
Provider Name (Legal Business Name): BARCLAY & FERSING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 N WILLARD ST
BURLINGTON VT
05401-3312
US

IV. Provider business mailing address

27 N WILLARD ST
BURLINGTON VT
05401-3312
US

V. Phone/Fax

Practice location:
  • Phone: 802-862-8625
  • Fax: 802-862-1993
Mailing address:
  • Phone: 802-862-8625
  • Fax: 802-862-1993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: MS. JUDITH AJA HOUGHTON
Title or Position: OFFICE MANAGER
Credential: RDH
Phone: 802-862-8625