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General NPI Number Information
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NPI Number | 1174665483
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Entity Type | Organization
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Legal Business Name | REMY VALLEE DMD INC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 57 OLD ORCHARD RD
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City | SAINT ALBANS
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State | VT
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Zip | 05478-2449
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Country | US
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Telephone | 802-524-0346
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Fax | 802-528-5976
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Provider Business Mailing Address
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Address Line | 37 CATHRINE STREET
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City | ST ALBANS
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State | VT
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Zip | 05478
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Country | US
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Telephone | 802-524-0345
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Fax | 802-524-0346
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Authorized Official
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Title or Position | OWNER
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Name | REMY VALLEE
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Credential | DMD
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Telephone | 802-524-0346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0160002099
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License Number State | VT
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