| Paul Kenworthy Dmd, Pc | |
|
4 Kellogg Rd Essex Jct VT 05452-2815 | |
| (802) 879-5151 | |
| (866) 561-8426 |
| Full Name | Paul Kenworthy Dmd, Pc |
|---|---|
| Speciality | Dentist |
| Location | 4 Kellogg Rd, Essex Jct, Vermont |
| Authorized Official Name and Position | Paul Kenworthy (DENTIST/OWNER) |
| Authorized Official Contact | 8028795151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Kenworthy Dmd, Pc 4 Kellogg Rd Essex Jct VT 05452-2815 Ph: (802) 879-5151 | Paul Kenworthy Dmd, Pc 4 Kellogg Rd Essex Jct VT 05452-2815 Ph: (802) 879-5151 |
| NPI Number | 1124441720 |
|---|---|
| Provider Enumeration Date | 02/03/2014 |
| Last Update Date | 02/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124441720 | NPI | - | NPPES |
| 0002551 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 000016975 (Vermont) | Primary |
J. Scott Thompson, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 173 West St, Essex Jct, VT 05452 Phone: 802-879-7811 Fax: 802-879-7030 |