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Theodore Wissink, MD
NPI 1124193503 · on the registry since 2006
Practice
- Address
- 118 Tilley Dr Ste 201
South Burlington, VT 05403 - Phone
- (802) 847-5550
- Fax
- (802) 847-3646
- Organisation at this address
- Green Mountain Dental, Plc
Theodorou Dental Partners LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Additional practice sites
- 272 Congress St, Portland, ME
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Family Medicine Physician
- Licence states on file
- ME, VT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Vermont