ALPINE FAMILY DENTAL LLC – NPI #1679786842
Clinic/Center

ALPINE FAMILY DENTAL LLC is an AHC clinic located in COLCHESTER, VT. NPPES has assigned the NPI number 1679786842 to ALPINE FAMILY DENTAL LLC on May 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 6 years ago on Jan 28, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALPINE FAMILY DENTAL LLC below.

NPI Profile for
ALPINE FAMILY DENTAL LLC

NPI Number
1679786842
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALPINE FAMILY DENTAL LLC
Primary location
875 ROOSEVELT HWY
SUITE 110
COLCHESTER, VT 05446-4460
Phone: (802) 862-5052 Fax: (802) 660-3991
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEPHEN PITMON
OWNER
Phone: (802) 862-5052
Updated
Certification Date
Jan 28, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ALPINE FAMILY DENTAL LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERTYPE 1 NPI1437153798
MEDICAIDVT1003378
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 VT 016-0001072

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.