Sam Pennise D.M.D.

NPI 1104031335 - Dentist - 1223G0001X

NPI Details
NPI 1104031335
Gender Male
Enumeration Date 05/11/2007
Last Updated 04/28/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
28 MECHANIC ST
BOX 386
HAMMONDSPORT NY, 14840, US
Phone (607) 569-2242
Fax (607) 569-2278
Business Location
28 MECHANIC STREET
BOX 386
HAMMONDSPORT NY, 14840-0386, US
Phone (607) 569-2242
Fax (607) 569-2278
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 033360
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According to our database, Dr. Sam Pennise D.M.D. NPI is 1104031335, taxonomy code is 1223G0001X and license number is 033360, license state is located at New York. Sam Pennise D.M.D. physically located at 28 Mechanic St, Hammondsport NY, 14840. NPI Number Sam Pennise D.M.D. has the Individual type.

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1104031335 NPI number is provided on an as is basis without warranty of any kind. 1104031335 is maintained by the National Plan & Provider Enumeration System. The contents of Sam Pennise D.M.D. are for informational purposes only.