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Active NPI 1124454145 Organization (Entity Type 2)

Acdcdds, Pc

Dentist - General Practice • Williston, VT

About Acdcdds, Pc NPI 1124454145 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) 1124454145.

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

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 8028781170
Fax 8028727139

Authorized Official Information

Authorized Contact Name

DR. Roni Golden , DMD

Title / Role

Dentist

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.

Dentist - General Practice

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.

Dentist - General Practice

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 September 24, 2013

NPI status registered as active in NPPES database

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Updated Practice Location September 24, 2013

Registered at 25 BISHOP AVE, WILLISTON, VT 054957871 (Tel: 8028781170)

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Updated Business Mailing Address September 24, 2013

Registered at 25 BISHOP AVE, PO BOX 1277, WILLISTON, VT 054957871 (Tel: 8028781170)

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Organization / Clinic Name Updated September 24, 2013

Operating as ACDCDDS, PC

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2013

Dentist (License #0160088849 in VT)

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Initial NPI Registration & Enumeration September 23, 2013

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1124454145
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: September 23, 2013
Last Update: September 24, 2013

Mailing Address

25 Bishop Ave, Po Box 1277

Williston, VT 054957871

Phone: 8028781170

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.