Paul Kenworthy Dmd Pc

LBN: Paul Kenworthy Dmd Pc
Paul Kenworthy Dmd Pc is an health care organization with primary practice located at 1 Place Notre Dame , St Johnsbury VT 05819-2223. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Paul Kenworthy Dmd Pc can be contacted via phone (802) 879-5151, or through Kenworthy, Paul via phone (802) 879-5151.

Contact Information

Primary practice address
1 Place Notre Dame St Johnsbury VT 05819-2223
Phone: (802) 879-5151
Fax: (866) 561-8426
Website:
Map and Directions
Authorized official contact:
Name: Kenworthy, Paul Doctor of Dental Medicine (DMD)
Phone: (802) 879-5151

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X 975 Vermont

Profile Details

NPI number 1871970145
LBN Legal business name Paul Kenworthy Dmd Pc
DBA Doing business as
Authorized official Kenworthy, Paul Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2015
Last updated Oct 26th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871970145 NPPES
Vermont MEDICAID 2551

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