Penoyer, Glenda V

Penoyer, Glenda V is an individual health care provider with primary practice located at 2050 Tilden Ave Box 1000, New Hartford NY 13413-3613. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Penoyer, Glenda V can be contacted via phone (315) 797-3114.

Contact Information

Primary practice address
2050 Tilden Ave Box 1000 New Hartford NY 13413-3613
Phone: (315) 797-3114
Fax: (315) 624-0474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 018768-1 New York

Profile Details

NPI number 1013233618
LBN Legal business name Penoyer, Glenda V
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2010
Last updated Apr 8th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013233618 NPPES
New York MEDICAID 01815443
New York MEDICAID 00313539

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