Provider Demographics
NPI:1114128642
Name:B.D.HEALTH CENTERS, INC.
Entity Type:Organization
Organization Name:B.D.HEALTH CENTERS, INC.
Other - Org Name:BRAUN DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:L
Authorized Official - Last Name:BRAUN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:802-476-3638
Mailing Address - Street 1:12 COTTAGE ST
Mailing Address - Street 2:
Mailing Address - City:BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05641-3768
Mailing Address - Country:US
Mailing Address - Phone:802-476-3638
Mailing Address - Fax:802-479-5761
Practice Address - Street 1:12 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641-3768
Practice Address - Country:US
Practice Address - Phone:802-476-3638
Practice Address - Fax:802-479-5761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VTVT-1160122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty