Healthcare Provider Details

I. General information

NPI: 1780600460
Provider Name (Legal Business Name): JOYCE A. HOTTENSTEIN DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 ALLEN ST SUITE #301
RUTLAND VT
05701-4570
US

IV. Provider business mailing address

71 ALLEN ST SUITE #301
RUTLAND VT
05701-4570
US

V. Phone/Fax

Practice location:
  • Phone: 802-775-0986
  • Fax: 802-419-3300
Mailing address:
  • Phone: 802-775-0986
  • Fax: 802-419-3300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number016-0002089
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: