Healthcare Provider Details

I. General information

NPI: 1619994662
Provider Name (Legal Business Name): JOHN D. DRESSER, DMD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 02/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 BILLINGS FARM RD SUITE 6A
WHITE RIVER JUNCTION VT
05001-5400
US

IV. Provider business mailing address

205 BILLINGS FARM RD SUITE 6A
WHITE RIVER JUNCTION VT
05001-5400
US

V. Phone/Fax

Practice location:
  • Phone: 802-295-7522
  • Fax: 802-296-2012
Mailing address:
  • Phone: 802-295-7522
  • Fax: 802-296-2012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number635
License Number StateVT

VIII. Authorized Official

Name: DR. JOHN D DRESSER
Title or Position: OWNER
Credential: DMD
Phone: 802-295-7522