DR. Sam Pennise, D.M.D.

NPI #1104031335 in Hammondsport, New York

Provider Information

NPI Number
1104031335
Entity Type
Individual
Name
DR. Sam Pennise, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
May 11, 2007
Last Updated
Apr 28, 2009

Practice Location

Address
28 MECHANIC ST
Address 2
BOX 386
ZIP Code
14840
Phone
(607) 569-2242

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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