Healthcare Provider Details

I. General information

NPI: 1568526226
Provider Name (Legal Business Name): CATHERINE CECH D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5271 MAIN STREET
MANCHESTER CTR VT
05255
US

IV. Provider business mailing address

444 WARM BROOK RD
ARLINGTON VT
05250-8657
US

V. Phone/Fax

Practice location:
  • Phone: 802-362-1014
  • Fax:
Mailing address:
  • Phone: 802-375-6826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number016-0001235
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: