Organization
PAUL KENWORTHY DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL KENWORTHY D.M.D. (DENTIST/OWNER)
(802) 879-5151
Entity
Organization
Contact information
Practice address
4 KELLOGG RD, ESSEX JCT, VT 05452-2815
(802) 879-5151
(866) 561-8426
Mailing address
4 KELLOGG RD, ESSEX JCT, VT 05452-2815
(802) 879-5151
(866) 561-8426
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
000016975
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002551
—
VT
Enumeration date
02/03/2014
Last updated
02/03/2014
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