Five-Town Health Alliance, INC

NPI #1013562636 in Bristol, Vermont

Provider Information

NPI Number: 1013562636
Entity Type: Organization
Organization Name: Five-Town Health Alliance, INC
Subpart: Yes (part of a larger organization)
Parent Organization: FIVE-TOWN HEALTH ALLIANCE, INC
Primary Specialty: Dentist
Enumeration Date: Aug 9, 2019
Last Updated: Sep 18, 2024

Practice Location

Address: 61 PINE ST
City: Bristol
State: Vermont
ZIP Code: 05443-1043
Phone: (802) 453-3911

Authorized Official

Name: HEIDI MELBOSTAD
Title: CHIEF EXECUTIVE OFFICER
Phone: (802) 453-5116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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