Paul Kenworthy DMD, PC
Organization Active NPI Dentist · Essex JCT., VT
NPI 1043481625 · NPPES record last updated Oct 26, 2015
Key facts
- NPI
- 1043481625
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 016-0000975 (VT)
- Legal business name
- PAUL KENWORTHY DMD, PC
- Practice address
- 4 Kellogg Road
Essex JCT., VT 05452-2815 - Phone
- (802) 879-5151
- Fax
- (866) 561-8426
- NPI assigned
- Mar 21, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Paul Francis Kenworthy, DMD
- Title
- Owner/Dentist
- Phone
- (802) 879-5151
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 016-0000975 | VT | Yes |
Addresses
Primary practice location
4 Kellogg Road
Essex JCT., VT 05452-2815
Mailing address
4 Kellogg Road
Essex JCT., VT 05452-2815
Phone (802) 879-5151
Other providers in Essex JCT., VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.