Dentist Providers In South Burlington, Vermont

Search Dentist NPI records in South Burlington, VT

Search or browse through the NPI records of dentist registered healthcare providers with a business address in South Burlington, VT. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 86, of which 21 are registered as organizations and 65 as individuals. A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

76% Individuals

24% Organizations

21% Female

55% Male

76% Individual Providers (65)24% Medical Organizations (21)21% Female Providers (18)55% Male Providers (47)

Map of Providers

We have mapped the Dentist providers in South Burlington, VT to visually represent the practice location of each individual or organization. Click on any of the the pins to see the provider details at that location.

List of Providers

Table of Dentist NPI Profiles in South Burlington, VT
NPI	Name	Address	Insurance	Medicare	PECOS
1013286376	MCLEAN DENTAL GROUP (Organization)	1683 WILLISTON RD SUITE 1 SOUTH BURLINGTON, VT 05403 (802) 864-9111	Anthem Blue Cross and Blue Shield UnitedHealthcare	Non-Participating Provider	NO
1023276573	SHON CHRISTOPHER DIGUGLIELMO (Individual)	60 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 864-6881	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1043965072	LIANA PRETO WEBBER (Individual)	60 TIMBER LN STE 1 SOUTH BURLINGTON, VT 05403 (802) 864-6881	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1063723880	JULIA COLLINS (Individual)	1362 WILLISTON RD SOUTH BURLINGTON, VT 05403 (802) 862-0927	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1093814097	THOMAS J RUESCHER (Individual)	60 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 264-6909	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1093884462	JONATHAN A BLOOM (Individual)	118 TILLEY DR STE 101 SOUTH BURLINGTON, VT 05403 (802) 863-3950	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1104830512	PAUL GREGORY BOERMAN (Individual)	44 TIMBER LANE SOUTH BURLINGTON, VT 05403 (802) 860-6725		Opted out of Medicare	NO
1114049384	DAVID JAMES ANGUS (Individual)	1 KENNEDY DRIVE SUITE #5 SOUTH BURLINGTON, VT 05403 (802) 859-9441	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1124140280	THEODORE LIBRIZZI (Individual)	1 KENNEDY DRIVE SUITE 5 SOUTH BURLINGTON, VT 05403 (802) 859-9441	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1134143803	SIOBHAN MARIE STEPHEN (Individual)	44 TIMBER LANE SOUTH BURLINGTON, VT 05403 (802) 860-6725	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Opted out of Medicare	YES
1134346885	THERON JOHN MAIN (Individual)	60 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 652-5213	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1144414004	RICHARD CORDERO (Individual)	118 TILLEY DR SUITE 102 SOUTH BURLINGTON, VT 05403 (802) 862-9196	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1154357572	BETTINA D LAIDLEY (Individual)	165 DORSET STREET SOUTH BURLINGTON, VT 05403 (802) 860-3368	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1174622179	THOMAS J FISCHER (Individual)	60 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 264-6909	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1205221918	EMILY HILL (Individual)	60 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 864-6881	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1235405424	MARY KATHRYN DELOACH (Individual)	60 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 864-6881	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1245005958	PATRICK LEMAY (Individual)	165 DORSET ST SOUTH BURLINGTON, VT 05403 (802) 860-3368		Non-Participating Provider	NO
1285700567	JULIE ANN SPANIEL (Individual)	1050 HINESBURG RD SOUTH BURLINGTON, VT 05403 (802) 864-1890		Non-Participating Provider	NO
1285734269	GARY B DAVIS (Individual)	60 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 264-6909	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1285916197	CHRISTOPHER JOHN SMART (Individual)	45 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 862-3685		Non-Participating Provider	NO
1295140754	UNIVERSITY OF VERMONT MEDICAL CENTER UVM MEDICAL CENTER (Organization)	1060 HINESBURG RD SUITE 202 SOUTH BURLINGTON, VT 05403 (802) 847-1777	Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1295803005	BENTLEY A. MERRICK, D.M.D. P.C. (Organization)	1050 HINESBURG RD SOUTH BURLINGTON, VT 05403 (802) 864-3827		Non-Participating Provider	NO
1306945969	FRED D ZIEGLER (Individual)	60 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 264-6909	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1316045594	CHRISTOPHER J LUPARIELLO (Individual)	60 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 264-6909	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1326139130	TIMBERLANE DENTAL GROUP (Organization)	60 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 264-6909		Non-Participating Provider	NO
1336106525	PAUL FRANCIS KENWORTHY (Individual)	1 KENNEDY DR # LL4 SOUTH BURLINGTON, VT 05403 (888) 720-5832	Anthem Blue Cross and Blue Sheld Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1356073118	JITESH PATEL (Individual)	165 DORSET ST SOUTH BURLINGTON, VT 05403 (802) 860-3368	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1356722680	EVAN PERLER (Individual)	1060 HINESBURG RD STE 302 SOUTH BURLINGTON, VT 05403 (802) 864-3827		Non-Participating Provider	NO
1376986364	DORSET STREET FAMILY DENTAL PLC (Organization)	165 DORSET ST SOUTH BURLINGTON, VT 05403 (802) 860-3368	Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1407483340	EMILY LAUREN CLAREMONT (Individual)	1060 HINESBURG RD STE 201 SOUTH BURLINGTON, VT 05403 (802) 847-1777	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1437564580	TYLER MILLS ATEN (Individual)	118 TILLEY DR SUITE 101 SOUTH BURLINGTON, VT 05403 (802) 863-3950	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life UnitedHealthcare	Non-Participating Provider	NO
1447474580	ROBERT B BOYD (Individual)	150 DORSET ST SUITE 260 SOUTH BURLINGTON, VT 05403 (802) 863-5335	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1457459752	FRANCOIS D LETOURNEAU (Individual)	60 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 264-6909	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1477652485	CHRISTOPHER L LUNDBERG (Individual)	60 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 264-6909	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1508398272	JAMES BAKER (Individual)	110 KIMBALL AVE STE 210 SOUTH BURLINGTON, VT 05403 (802) 491-4400		Non-Participating Provider	NO
1508977919	DANIEL FERRARIS (Individual)	60 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 264-6909		Non-Participating Provider	NO
1518058627	THOMAS B CONNOLLY (Individual)	60 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 264-6909	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1528476223	AFFORDABLE DENTURES - BURLINGTON LL, P. C. (Organization)	1162 WILLISTON RD SOUTH BURLINGTON, VT 05403 (802) 651-9033		Non-Participating Provider	NO
1538549605	MOKHTAR BOUSHABA (Individual)	165 DORSET ST SOUTH BURLINGTON, VT 05403 (518) 322-1588	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1548946544	CHRISTIAN DEAN JOCHAM (Individual)	60 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 864-6881		Non-Participating Provider	NO
1558459974	MICHAEL LAWRENCE ZIEGLER (Individual)	1340 WILLISTON RD SOUTH BURLINGTON, VT 05403 (802) 863-0505	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1558483602	JEFFREY JOSEPH BLASIUS (Individual)	1 KENNEDY DRIVE SUITE 5 SOUTH BURLINGTON, VT 05403 (802) 859-9441	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1578223335	HIBBS COLLINS DENTISTRY (Organization)	1362 WILLISTON RD SOUTH BURLINGTON, VT 05403 (802) 862-0927		Non-Participating Provider	NO
1588685259	DAVID EDWARD MCLEAN (Individual)	1683 WILLISTON RD SUITE 1 SOUTH BURLINGTON, VT 05403 (802) 864-9111	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1598884850	CHAMPLAIN PERIODONTAL P.C. (Organization)	37 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 862-1435	Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1598993768	KEVIN H ACONE (Individual)	62 MERCHANTS ROW SUITE 104 SOUTH BURLINGTON, VT 05403 (802) 497-6310	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1619097268	LEE ANN PARKS (Individual)	1060 HINESBURG RD STE 101 SOUTH BURLINGTON, VT 05403 (802) 878-0300	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Humana Paramount Paramount Dental	Opted out of Medicare	YES
1619443546	ADISA RATANASIRINTRAWOOT (Individual)	1775 WILLISTON RD SOUTH BURLINGTON, VT 05403 (802) 863-5447	Anthem Blue Cross and Blue Shield	Non-Participating Provider	YES
1619966587	MATTHEW MARTIN ROGERS (Individual)	60 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 878-8348	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1629129648	LEEANN PODRUCH (Individual)	1050 HINESBURG RD SOUTH BURLINGTON, VT 05403 (802) 864-1890	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Non-Participating Provider	NO
1629382049	THEODOROU DENTAL PARTNERS LLC THEODOROU DENTAL PARTNERS LLC (Organization)	118 TILLEY DR SUITE 101 SOUTH BURLINGTON, VT 05403 (802) 863-3950	Aetna CVS Health	Non-Participating Provider	NO
1639395338	JULIE SPANIEL D.D.S. INC. (Organization)	1050 HINESBURG RD SOUTH BURLINGTON, VT 05403 (802) 864-1890		Non-Participating Provider	NO
1649880733	AFFORDABLE DENTURES & IMPLANTS - BURLINGTON VT, P.C. (Organization)	1162 WILLISTON RD SOUTH BURLINGTON, VT 05403 (802) 651-9033		Non-Participating Provider	NO
1659376465	BRIAN D. SHUMAN (Individual)	1775 WILLISTON RD STE 250 SOUTH BURLINGTON, VT 05403 (802) 863-5447	Anthem Blue Cross and Blue Shield	Non-Participating Provider	YES
1659814176	AFFORDABLE DENTURES - BURLINGTON III, P.C. (Organization)	1162 WILLISTON RD SOUTH BURLINGTON, VT 05403 (802) 651-9033		Non-Participating Provider	NO
1699264374	KATARZYNA DIONNE DMD, PC SPRUCEWOOD DENTAL ASSOCIATES, PC (Organization)	1050 HINESBURG RD SOUTH BURLINGTON, VT 05403 (802) 864-1890		Non-Participating Provider	NO
1730238593	MATTHEW DAVID GIULIANELLI (Individual)	110 KIMBALL AVE SUITE 230 SOUTH BURLINGTON, VT 05403 (802) 864-6264	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1740306224	ASSOCIATES IN ORHTODONTICS PC (Organization)	1 KENNEDY DRIVE SUITE #5 SOUTH BURLINGTON, VT 05403 (802) 859-9441		Non-Participating Provider	NO
1750395166	THOMAS WILLIAM CONNOLLY (Individual)	118 TILLEY DRIVE SUITE 102 SOUTH BURLINGTON, VT 05403 (802) 862-9196	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1750399713	JOHN L WOLFF (Individual)	1683 WILLISTON ROAD SOUTH BURLINGTON, VT 05403 (802) 864-9111	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1760582357	DENNIS LYNN NELSON (Individual)	110 KIMBALL AVE SUITE 230 SOUTH BURLINGTON, VT 05403 (802) 864-6264		Non-Participating Provider	NO
1770847964	ZACHARY T LIBRIZZI (Individual)	1 KENNEDY DR SUITE 5 SOUTH BURLINGTON, VT 05403 (802) 859-9441	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1770945339	ANGELA DUNKLING (Individual)	1060 HINESBURG RD SUITE 201 SOUTH BURLINGTON, VT 05403 (802) 847-2700	Aetna CVS Health Ambetter from Absolute Total Care Ambetter of North Carolina Ambetter of Tennessee Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of North Carolina Dominion National Guardian Humana Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1780722124	KAREN LINDEMANN SPERRY (Individual)	595 DORSET ST # 1 SOUTH BURLINGTON, VT 05403 (802) 863-0330	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1780872903	KENNETH KERO (Individual)	1128 WILLISTON RD SOUTH BURLINGTON, VT 05403 (802) 658-5840		Non-Participating Provider	NO
1790711414	JEFFREY ALLEN CRANDALL (Individual)	40 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 862-7185		Non-Participating Provider	YES
1801907274	TIMOTHY B TURNER (Individual)	60 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 264-6909	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1811404619	GREEN MOUNTAIN DENTAL, PLC (Organization)	118 TILLEY DR STE 101 SOUTH BURLINGTON, VT 05403 (802) 863-3950	Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1831676659	JOHN ANDREW HIBBS (Individual)	1362 WILLISTON RD SOUTH BURLINGTON, VT 05403 (802) 825-8112	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1831798057	KAMLESHWAR PAREEK (Individual)	165 DORSET ST SOUTH BURLINGTON, VT 05403 (802) 860-3368		Non-Participating Provider	YES
1841730348	ELIZA CALLWOOD (Individual)	60 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 864-8661	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1891386041	FRANCE AUDET (Individual)	165 DORSET STREET SOUTH BURLINGTON, VT 05403 (802) 860-3368		Non-Participating Provider	NO
1891710794	JANET THOMASON MICCOLO (Individual)	1060 HINESBURG RD SUITE 201 SOUTH BURLINGTON, VT 05403 (802) 847-1777		Non-Participating Provider	NO
1891919924	CHAMPLAIN DENTAL GROUP, LTD (Organization)	150 DORSET ST SUITE 260 SOUTH BURLINGTON, VT 05403 (802) 863-5335	Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1902917354	GREGORY C CHAN (Individual)	60 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 264-6909	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1902917388	STEVEN R FISCHER (Individual)	60 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 264-6909	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1912469297	GREEN MOUNTAIN PEDIATRIC DENTISTRY, PLLC (Organization)	42 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 332-6808	UnitedHealthcare	Non-Participating Provider	NO
1922841329	TIMBERLANE DENTAL ASSOCIATES, PLC (Organization)	60 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 864-6881		Non-Participating Provider	NO
1932245362	VERMONT DENTAL MEDICINE PLLC VERMONT OROFACIAL PAIN ASSOCIATES (Organization)	40 TIMBER LN SOUTH BURLINGTON, VT 05403 (802) 862-7185	Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1942384979	DR. KENNETH J. STAVISKY, LTD. (Organization)	99 SWIFT ST SUITE 115 SOUTH BURLINGTON, VT 05403 (802) 865-1212		Non-Participating Provider	NO
1962282665	ABD AL HADI KAWAIAH (Individual)	340 DORSET ST SOUTH BURLINGTON, VT 05403 (469) 434-9908	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1962512038	KENNETH JOSEPH STAVISKY (Individual)	99 SWIFT ST SUITE 115 SOUTH BURLINGTON, VT 05403 (802) 865-1212		Non-Participating Provider	NO
1962772467	CHAMPLAIN SMILE SOLUTIONS, PLLC (Organization)	110 KIMBALL AVE SUITE 230 SOUTH BURLINGTON, VT 05403 (802) 864-6264		Non-Participating Provider	NO
1982628657	PAUL ALBERT DANIELSON (Individual)	118 TILLEY DRIVE SUITE 102 SOUTH BURLINGTON, VT 05403 (802) 862-9196	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1992522692	EHIZOGIE PAUL ADEGHE (Individual)	7 FARRELL ST SOUTH BURLINGTON, VT 05403 (813) 710-4378		Non-Participating Provider	NO
1992917496	KADAM DESAI GIULIANELLI (Individual)	110 KIMBALL AVE SUITE 230 SOUTH BURLINGTON, VT 05403 (802) 864-6264		Non-Participating Provider	NO

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