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NPI 1376638536

IndividualActive

Gopichand Vallabhaneni

NPI 1376638536 · Dentist · Burlington, VT

Provider details

NPI number: 1376638536
Entity type: Individual
Primary specialty: DentistDental Providers
Sex: Male
Sole proprietor: No
License: 0160002181 (VT)

Practice location

617 Riverside Ave

Burlington, VT 05401-1601

Phone: (802) 864-6309

More VT providers

Mailing address

617 Riverside Ave

Burlington, VT 05401-1601

Registry dates

Enumerated: 2006-10-04
Last updated: 2012-11-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Gopichand Vallabhaneni — NPI 1376638536, Burlington, VT | NPI Central