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Active NPI 1053784595 Organization (Entity Type 2)

Acdcdds,pc

Dentist - General Practice • Williston, VT

About Acdcdds,pc NPI 1053784595 Summary

Acdcdds,Pc is a verified healthcare organization specializing in Dentist - General Practice operating in Williston, VT. Located at 25 BISHOP AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1053784595.

Administrative operations and authorized compliance are overseen by Roni Golden (President).

The facility is associated with 5 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

25 Bishop Ave

Williston, VT 054957871

Telephone 8208781170
Fax 8028727139

Authorized Official Information

Authorized Contact Name

DR. Roni Golden , DMD

Title / Role

President

Official Telephone

8028781170

Facility Classifications & Specialties

Dentist - General Practice Primary Taxonomy

NUCC Taxonomy Code: 1223G0001X

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

5 Linked

Dentist

Williston, VT

View Practitioner Profile →
Evyl Keough , RPT NPI 1417153875

Physical Therapist

Williston, VT

View Practitioner Profile →
Amy Taggart NPI 1417417684

Dentist - General Practice

Williston, VT

View Practitioner Profile →

Dentist - General Practice

Williston, VT

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active November 05, 2015

NPI status registered as active in NPPES database

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Updated Practice Location November 05, 2015

Registered at 25 BISHOP AVE, WILLISTON, VT 054957871 (Tel: 8208781170)

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Updated Business Mailing Address November 05, 2015

Registered at 25 BISHOP AVE, P.O. BOX 1277, WILLISTON, VT 054957871 (Tel: 8208781170)

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Organization / Clinic Name Updated November 05, 2015

Operating as ACDCDDS,PC

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2015

Dentist (License #016.0088849 in VT)

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Initial NPI Registration & Enumeration November 05, 2015

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1053784595
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: November 05, 2015
Last Update: November 05, 2015

Mailing Address

25 Bishop Ave, P.o. Box 1277

Williston, VT 054957871

Phone: 8208781170

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.