NPI 1285012401

Paul Kenworthy DMD PC

Organisation Customized Equipment (DME) Newport, VT

Practice location

Address: 5043 US Route 5, Newport, VT 05855-9843
Phone: (802) 879-5151
Fax: (866) 561-8426
Mailing address: 4 Kellogg Rd, Essex Junction, VT 05452-2815

Authorised official

Name: Paul Kenworthy
Title: Owner/Dentist
Phone: (802) 879-5151

Registered specialties

Customized Equipment (DME) Primary

Suppliers Taxonomy 332BC3200X Licence 975 (VT)

Other Durable Medical Equipment & Medical Supplies providers in Vermont →

Registry record

NPI: 1285012401
Entity type: Organization
NPI issued: 7 May 2015
Record last updated: 26 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.