Provider Demographics
NPI:1578781217
Name:ACCENT ORTHODONTICS INC.
Entity Type:Organization
Organization Name:ACCENT ORTHODONTICS INC.
Other - Org Name:ACCENT ORTHODONTICS AND FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:STEINMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:802-476-8700
Mailing Address - Street 1:161 US ROUTE 302
Mailing Address - Street 2:
Mailing Address - City:BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05641-2369
Mailing Address - Country:US
Mailing Address - Phone:802-476-8700
Mailing Address - Fax:802-476-3921
Practice Address - Street 1:161 US ROUTE 302
Practice Address - Street 2:
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641-2369
Practice Address - Country:US
Practice Address - Phone:802-476-8700
Practice Address - Fax:802-476-3921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT016-00012341223G0001X
VT016-00011681223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Not Answered1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1005331Medicaid