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

Green Mountain Dermatology PLLC

Organization Dermatology Physician · NPI 1093577827

Green Mountain Dermatology PLLC is a Dermatology Physician in Colchester, Vermont. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
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

354 Mountain View Dr
Colchester, VT 05446-5968
Phone: (802) 864-0192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2 Healey Ave, Plattsburgh, NY 12901-2413 — (802) 864-0192

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1093577827
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Haley — Authorized Official · (561) 314-2000
Other names Four Seasons Dermatology
NPI enumeratedJanuary 26, 2024
Last updated in NPPESOctober 11, 2024
Certification dateOctober 11, 2024
Mailing address4700 Exchange Ct Ste 100, Boca Raton, FL 33431-4450

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