IndividualActive
Brandon Vanasse
NPI 1124479662 · Dentist · Derby, VT
Provider details
- NPI number
- 1124479662
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 016.0120905 (VT)
Specialties & taxonomies
Dental Providers
Practice location
296 Main Street
Derby, VT 05829
Phone: (802) 766-4711
Approximate (ZIP-level) locationGet directions
Mailing address
296 Main Street
Derby, VT 05829
Registry dates
- Enumerated
- 2016-06-27
- Last updated
- 2016-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.