Paul Kenworthy Dmd, Pc

LBN: Paul Kenworthy Dmd, Pc
Paul Kenworthy Dmd, Pc is an health care organization with primary practice located at 142 Boynton Ave , Plattsburgh NY 12901-1292. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, 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
142 Boynton Ave Plattsburgh NY 12901-1292
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 / Durable Medical Equipment & Medical Supplies 332B00000X 0553741 New York

Profile Details

NPI number 1972936888
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 Aug 14th, 2013
Last updated Oct 26th, 2015 - about 9 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 1972936888 NPPES
Vermont MEDICAID 0002551

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