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GREEN MOUNTAIN DENTAL, PLC
NPI 1811404619
Dentist - General Practice in South Burlington, VT

Active since January 03, 2018
118 TILLEY DR STE 101, SOUTH BURLINGTON, VT 05403(802) 863-3950(802) 863-6013 Get Directions Write a Review

NPPES record last updated: January 3, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Green Mountain Dental, Plc NPPES

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

GREEN MOUNTAIN DENTAL, PLC (NPI 1811404619) is a healthcare organization registered as a general practice in South Burlington, Vermont and active in the NPI registry since January 2018. The organization lists Tyler Aten, Owner/principal, as its authorized official.

NPPES Registry Identity

NPI1811404619
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGREEN MOUNTAIN DENTAL, PLC
Location Address118 TILLEY DR STE 101South Burlington, VT 05403-4450
Mailing Address118 Tilley Dr Ste 101South Burlington, VT 05403-4450 · (802) 863-3950 · Fax (802) 863-6013
Phone(802) 863-3950
Fax(802) 863-6013
Organization SubpartNo
Authorized OfficialTyler AtenOwner/principal · (802) 863-3950
Enumeration DateJanuary 3, 2018
✔ NPI 1811404619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
118 TILLEY DR STE 101, South Burlington, VT 05403
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES

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

DR. JONATHAN A BLOOM D.D.S.
Dentist (General Practice)
118 TILLEY DR STE 101
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 863-3950

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 Green Mountain Dental, Plc's NPI number?

The NPI number for Green Mountain Dental, Plc is 1811404619. It was assigned to this organization in the NPPES registry on January 3, 2018.

Where is Green Mountain Dental, Plc located?

Green Mountain Dental, Plc is located at 118 Tilley Dr Ste 101, South Burlington, VT 05403. The listed phone number is (802) 863-3950.

What is Green Mountain Dental, Plc's specialty?

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

What insurance does Green Mountain Dental, Plc accept?

Health plans from Anthem Blue Cross and Blue Shield list Green Mountain Dental, Plc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Green Mountain Dental, Plc was last updated on January 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.