Individual
DR. VERNON CHARLES PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1571 STATELINE, SOUTHAVEN, MI 38671
(662) 342-0467
(662) 342-0468
Mailing address
1571 STATELINE, SOUTHAVEN, MI 38671
(662) 342-0467
(662) 342-0468
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
219585
MS
122300000X
Dentist
Primary
DS0000004349
TN
Other
Enumeration date
11/08/2006
Last updated
09/11/2025
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