| Paul Kenworthy Dmd, Pc | |
|
4 Kellogg Road Essex Jct. VT 05452-2815 | |
| (802) 879-5151 | |
| (866) 561-8426 |
| Full Name | Paul Kenworthy Dmd, Pc |
|---|---|
| Speciality | Dentist |
| Location | 4 Kellogg Road, Essex Jct., Vermont |
| Authorized Official Name and Position | Paul Francis Kenworthy (OWNER/DENTIST) |
| Authorized Official Contact | 8028795151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Kenworthy Dmd, Pc 4 Kellogg Road Essex Jct. VT 05452-2815 Ph: (802) 879-5151 | Paul Kenworthy Dmd, Pc 4 Kellogg Road Essex Jct. VT 05452-2815 Ph: (802) 879-5151 |
| NPI Number | 1043481625 |
|---|---|
| Provider Enumeration Date | 03/21/2008 |
| Last Update Date | 10/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043481625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 016-0000975 (Vermont) | Primary |