Provider Demographics
NPI:1841226677
Name:NEIL, DALE R (DDS)
Entity Type:Individual
Prefix:DR
First Name:DALE
Middle Name:R
Last Name:NEIL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1593 PUCKER ST
Mailing Address - Street 2:
Mailing Address - City:STOWE
Mailing Address - State:VT
Mailing Address - Zip Code:05672-4579
Mailing Address - Country:US
Mailing Address - Phone:802-253-4157
Mailing Address - Fax:802-253-7025
Practice Address - Street 1:1593 PUCKER ST
Practice Address - Street 2:
Practice Address - City:STOWE
Practice Address - State:VT
Practice Address - Zip Code:05672-4579
Practice Address - Country:US
Practice Address - Phone:802-253-4157
Practice Address - Fax:802-253-7025
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT4801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice