National Provider Identifier Database

SAM PENNISE, DMD – NPI #1104031335
General Practice

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.


Contact Information

SAM PENNISE, DMD
28 MECHANIC ST
BOX 386
HAMMONDSPORT, NY14840
Phone: 607-569-2242
Fax: 607-569-2278
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for SAM PENNISE

NPI Number 1104031335
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 05/11/2007
Last updated 04/28/2009 - About 17 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 033360
Hospital affiliation n/a

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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