Individual
DR. MOLLIE TOVA LENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054165
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054165
STATE LICENSE NUMBER
NY
Enumeration date
08/27/2008
Last updated
08/27/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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