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Contact Information

TIMOTHY W PENBERTHY, DDS
509 W HANLEY AVE
SUITE # 2
COEUR D'ALENE, ID83815-8994
 Phone: 208-664-8622
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for TIMOTHY W PENBERTHY · (Male)

NPI Number 1285786194
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 01/18/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • ID License # D-1930-EN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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