NPI: 1235236647 · STOWE, VT 05672 · General Practice Dentistry · NPI assigned 09/20/2006
| Authorized Official | MCKECHNIE, JEFFREY (PRESIDENT) |
| NPI Enumeration Date | 09/20/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $442.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 13 | 13 | $442.00 |