IndividualActive
Gerald Theberge, DDS
NPI 1376570226 · Dentist · Brattleboro, VT
Provider details
- NPI number
- 1376570226
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 0160000888 (VT)
Specialties & taxonomies
Dental Providers
Practice location
72 High Street
Brattleboro, VT 05301
Phone: (802) 254-9644
Fax: (802) 257-8512
Approximate (ZIP-level) locationGet directions
Mailing address
72 High Street
Brattleboro, VT 05301
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.