Sam Pennise in Hammondsport - General Practice

Sam Pennise - NPI 1104031335

Sam Pennise is a General Practice in Hammondsport, New York. Sam Pennise practices all healthcare services and medical treatments related to General Practice. The NPI Number for Sam Pennise is 1104031335. The last update date is 2009-04-28.

Sam Pennise's current location address is 28 Mechanic Street, Hammondsport, New York. You can contact this provider via phone number 6075692242 and fax number 6075692278. The mailing address for Sam Pennise is 28 Mechanic Street, Hammondsport, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Sam Pennise
Address 28 Mechanic Street, Hammondsport, New York
Phone Number 6075692242
Fax Number 6075692278
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1104031335
Provider Enumeration Date 2007-05-11
Last Updated Date 2009-04-28

Provider Mailing Address Detail

Address 28 Mechanic Street
City Hammondsport
State New York (NY)
Post Code 148400386
Phone Number 6075692242
Fax Number 6075692278

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 33360
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Sam Pennise

What is the unique identifier code issued to Sam Pennise by the Centers for Medicare & Medicaid Services (CMS)?

The Sam Pennise has been assigned the NPI (National Provider Identifier) 1104031335. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Sam Pennise's facilities are situated?

The facilities of Sam Pennise are physically located at the following address: 28 Mechanic Street, Hammondsport, NY, 148400386.

What is Sam Pennise's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Sam Pennise's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Sam Pennise receive the assignment of its 1104031335 from the Centers for Medicare & Medicaid Services?

The Sam Pennise was issued its 1104031335 by the Centers for Medicare & Medicaid Services on 2007-05-11.

As of what date was the information pertaining to Sam Pennise, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Sam Pennise, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-04-28.

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