Provider Demographics
NPI:1174665483
Name:REMY VALLEE DMD INC
Entity Type:Organization
Organization Name:REMY VALLEE DMD INC
Other - Org Name:FRANKLIN COUNTY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REMY
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLEE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:802-524-0346
Mailing Address - Street 1:37 CATHRINE STREET
Mailing Address - Street 2:
Mailing Address - City:ST ALBANS
Mailing Address - State:VT
Mailing Address - Zip Code:05478
Mailing Address - Country:US
Mailing Address - Phone:802-524-0345
Mailing Address - Fax:802-524-0346
Practice Address - Street 1:57 OLD ORCHARD RD
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478-2449
Practice Address - Country:US
Practice Address - Phone:802-524-0346
Practice Address - Fax:802-528-5976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0160002099122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1011179Medicaid
VT119913OtherUNITED CONCORDIA
VT58115OtherBLUE CROSS BLUE SHIELD