Healthcare Provider Details

I. General information

NPI: 1992878367
Provider Name (Legal Business Name): EVERHART & PINTO PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 KENNEDY DR U6
SO BURLINGTON VT
05403
US

IV. Provider business mailing address

1 KENNEDY DR U6
SO BURLINGTON VT
05403
US

V. Phone/Fax

Practice location:
  • Phone: 802-862-6562
  • Fax: 802-862-6562
Mailing address:
  • Phone: 802-862-6562
  • Fax: 802-862-6562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number0160000800
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number0160001236
License Number StateVT

VIII. Authorized Official

Name: DR. WENDY KATZ EVERHART
Title or Position: PROVIDER OWNER
Credential: DDS
Phone: 802-862-6562