Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Green Mountain Pediatric Dentistry, PLLC

Organization Pediatric Dentistry · NPI 1912469297

Green Mountain Pediatric Dentistry, PLLC provides Pediatric Dentistry in South Burlington, Vermont. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

42 Timber Ln
South Burlington, VT 05403-7204
Phone: (802) 332-6808
Fax: (802) 332-6807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1912469297
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barry Jacobson — Owner · (802) 332-6808
NPI enumeratedApril 4, 2019
Last updated in NPPESApril 4, 2019
Mailing address42 Timber Ln, South Burlington, VT 05403-7204

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