Provider Demographics
NPI:1992878367
Name:EVERHART & PINTO PLC
Entity type:Organization
Organization Name:EVERHART & PINTO PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:KATZ
Authorized Official - Last Name:EVERHART
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:802-862-6562
Mailing Address - Street 1:1 KENNEDY DR
Mailing Address - Street 2:U6
Mailing Address - City:SO BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403
Mailing Address - Country:US
Mailing Address - Phone:802-862-6562
Mailing Address - Fax:802-862-6562
Practice Address - Street 1:1 KENNEDY DR
Practice Address - Street 2:U6
Practice Address - City:SO BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403
Practice Address - Country:US
Practice Address - Phone:802-862-6562
Practice Address - Fax:802-862-6562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0160000800122300000X
VT0160001236122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT2466OtherBLUE CROSS BS