SHELBURNE DENTAL GROUP
NPI 1053751164
Dentist - General Practice in Shelburne, VT

Active since July 03, 2013
30 SHELBURNE SHOPPING PARK, SHELBURNE, VT 05482(802) 985-3500(802) 985-2979 Get Directions Write a Review

NPPES record last updated: July 3, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shelburne Dental Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELBURNE DENTAL GROUP (NPI 1053751164) is a healthcare organization registered as a general practice in Shelburne, Vermont and active in the NPI registry since July 2013. The organization lists Nathan Bouchard, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1053751164
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSHELBURNE DENTAL SERVICES, P.C.
Location Address30 SHELBURNE SHOPPING PARKShelburne, VT 05482-7488
Mailing Address267 Pearl St Unit B1Burlington, VT 05401-8543 · (603) 320-4994
Fax(802) 985-2979
Organization SubpartNo
Authorized OfficialNathan BouchardOwner/dentist · (603) 320-4994
Enumeration DateJuly 3, 2013
NPI 1053751164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in VT · 016-60069455
Definition

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.

30 SHELBURNE SHOPPING PARK, Shelburne, VT 05482

Other Names 1

Doing Business AsShelburne Dental Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
30 SHELBURNE SHOPPING PARK
SHELBURNE, VT 05482
Pharmacy
30 SHELBURNE SHOPPING PARK
SHELBURNE, VT 05482
Pharmacist
30 SHELBURNE SHOPPING PARK
SHELBURNE, VT 05482
Pharmacist
30 SHELBURNE SHOPPING PARK
SHELBURNE, VT 05482
Dentist
30 SHELBURNE SHOPPING PARK
SHELBURNE, VT 05482
Dentist (General Practice)
30 SHELBURNE SHOPPING PARK
SHELBURNE, VT 05482
Pharmacist
30 SHELBURNE SHOPPING PARK
SHELBURNE, VT 05482
Dentist (General Practice)
30 SHELBURNE SHOPPING PARK
SHELBURNE, VT 05482

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelburne Dental Services, P.C.'s NPI number?

The NPI number for Shelburne Dental Services, P.C. is 1053751164. It was assigned to this organization in the NPPES registry on July 3, 2013. The provider is doing business as Shelburne Dental Group.

Where is Shelburne Dental Services, P.C. located?

Shelburne Dental Services, P.C. is located at 30 Shelburne Shopping Park, Shelburne, VT 05482. The listed phone number is (802) 985-3500.

What is Shelburne Dental Services, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Shelburne Dental Services, P.C. was last updated on July 3, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.