National Provider Identifier
Mark Collinsworth, RDH
Mark Collinsworth, RDH is listed in the NPPES registry with a primary specialty of Dental Hygienist in Penn Yan, NY and a listed phone number of (315) 531-9102.
Profile Overview
- NPI
- 1740772110
- Provider Type
- Individual
- Primary Specialty
- Dental Hygienist
- Enumeration Date
- June 01, 2018
- Last Updated
- June 01, 2018
Practice Location
- 160 Main St
- Penn Yan, NY 14527-1204
Phone: (315) 531-9102
Mailing Address
- 601B W Washington St
- Geneva, NY 14456-2119
Specialties
- Dental Hygienist (124Q00000X)
Full Record
- NPI
- 1740772110
- Entity Type
- Individual
- Last Name
- Collinsworth
- First Name
- Mark
- Credential
- RDH
- Mailing Street Address
- 601B W Washington St
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-2119
- Mailing Country
- US
- Mailing Phone
- (315) 787-8151
- Practice Street Address
- 160 Main St
- Practice City
- Penn Yan
- Practice State
- NY
- Practice ZIP Code
- 14527-1204
- Practice Country
- US
- Practice Phone
- (315) 531-9102
- Enumeration Date
- June 01, 2018
- Last Updated
- June 01, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dental Hygienist (124Q00000X)