Healthcare Provider Details
I. General information
NPI: 1104866243
Provider Name (Legal Business Name): FRANCIS J. D'AURIA, D.M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
240 STRATTON RD
RUTLAND VT
05701-4623
US
IV. Provider business mailing address
240 STRATTON RD
RUTLAND VT
05701-4623
US
V. Phone/Fax
- Phone: 802-775-5777
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | VT |
VIII. Authorized Official
Name: DR.
FRANCIS
JOSEPH
D'AURIA
Title or Position: CEO
Credential: D.M.D.
Phone: 802-775-5777