National Provider Identifier
Sam Pennise, D.M.D.
Sam Pennise, D.M.D. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Hammondsport, NY and a listed phone number of (607) 569-2242.
Profile Overview
- NPI
- 1104031335
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- May 11, 2007
- Last Updated
- April 28, 2009
Practice Location
- 28 Mechanic St
- Box 386
- Hammondsport, NY 14840
Phone: (607) 569-2242
Mailing Address
- 28 Mechanic Street
- Box 386
- Hammondsport, NY 14840-0386
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1104031335
- Entity Type
- Individual
- Last Name
- Pennise
- First Name
- Sam
- Name Prefix
- Dr.
- Credential
- D.M.D.
- Mailing Street Address
- 28 Mechanic Street
- Mailing Address Line 2
- Box 386
- Mailing City
- Hammondsport
- Mailing State
- NY
- Mailing ZIP Code
- 14840-0386
- Mailing Country
- US
- Mailing Phone
- (607) 569-2242
- Mailing Fax
- (607) 569-2278
- Practice Street Address
- 28 Mechanic St
- Practice Address Line 2
- Box 386
- Practice City
- Hammondsport
- Practice State
- NY
- Practice ZIP Code
- 14840
- Practice Country
- US
- Practice Phone
- (607) 569-2242
- Practice Fax
- (607) 569-2278
- Enumeration Date
- May 11, 2007
- Last Updated
- April 28, 2009
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)