Green Mountain Pediatric Dentistry, PLLC
NPI 1912469297 · Pediatric Dentistry · South Burlington, VT
Green Mountain Pediatric Dentistry, PLLC is a Pediatric Dentistry organization in South Burlington, VT (NPI 1912469297).
Provider details
- NPI number
- 1912469297
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Barry Jacobson, Owner(802) 332-6808
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-04-04
- Last updated
- 2019-04-04
Frequently asked questions
- What is Green Mountain Pediatric Dentistry, PLLC's NPI number?
- Green Mountain Pediatric Dentistry, PLLC's National Provider Identifier (NPI) is 1912469297, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Green Mountain Pediatric Dentistry, PLLC?
- Green Mountain Pediatric Dentistry, PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Green Mountain Pediatric Dentistry, PLLC located?
- Green Mountain Pediatric Dentistry, PLLC's practice location on file with NPPES is 42 Timber Ln, South Burlington, VT 05403-7204.
- What is Green Mountain Pediatric Dentistry, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Green Mountain Pediatric Dentistry, PLLC is (802) 332-6808.
- Who is the authorized official for Green Mountain Pediatric Dentistry, PLLC?
- The authorized official listed on Green Mountain Pediatric Dentistry, PLLC's NPPES record is Barry Jacobson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Green Mountain Pediatric Dentistry, PLLC's NPI active?
- Yes — Green Mountain Pediatric Dentistry, PLLC's NPI (1912469297) is active in the NPPES registry as of the last update on 2019-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.