Provider Demographics
NPI:1487817219
Name:DUNKLING AND PENNEY DENTISTRY
Entity Type:Organization
Organization Name:DUNKLING AND PENNEY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:PENNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:COMPANION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-899-3973
Mailing Address - Street 1:22 RACEWAY RD
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:VT
Mailing Address - Zip Code:05465-2100
Mailing Address - Country:US
Mailing Address - Phone:802-899-3973
Mailing Address - Fax:802-899-5895
Practice Address - Street 1:22 RACEWAY RD
Practice Address - Street 2:
Practice Address - City:JERICHO
Practice Address - State:VT
Practice Address - Zip Code:05465-2100
Practice Address - Country:US
Practice Address - Phone:802-899-3973
Practice Address - Fax:802-899-5895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT01600009161223G0001X
VT01600021921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty