Organization
PAUL KENWORTHY DMD, PC
Active
Organization
PAUL KENWORTHY DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL KENWORTHY DMD (DENTIST/OWNER)
(802) 879-5151
Entity
Organization
Contact information
Practice address
142 BOYNTON AVE, PLATTSBURGH, NY 12901-1292
(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
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0553741
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002551
—
VT
Enumeration date
08/14/2013
Last updated
10/26/2015
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