Provider Demographics
NPI:1598993768
Name:ACONE, KEVIN H (DMD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:H
Last Name:ACONE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 PARK RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-5610
Mailing Address - Country:US
Mailing Address - Phone:617-680-5739
Mailing Address - Fax:
Practice Address - Street 1:62 MERCHANTS ROW
Practice Address - Street 2:SUITE 104
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403
Practice Address - Country:US
Practice Address - Phone:802-497-6310
Practice Address - Fax:802-288-8257
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ77781223G0001X
VT016.00981061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice