Individual provider · Type 1 NPI
Sam Pennise, DMD
General Practice Dentistry · Hammondsport, NY
NPI number
1104031335
Active
Practice location
28 Mechanic St, Box 386
Hammondsport, NY 14840
Fax (607) 569-2278
Mailing address
28 Mechanic Street, Box 386
Hammondsport, NY 14840-0386
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 033360 (NY) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
About NPI 1104031335
Sam Pennise, DMD's National Provider Identifier is 1104031335, issued on May 11, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Hammondsport, NY. The record was last updated on Apr 28, 2009.