Dr. Samuel C Pennella, DDS
Dentist in Upper Montclair, New Jersey
1417114505- Practice location
- 76 Bellevue Ave, Upper Montclair, NJ 07043-2430
- Phone
- 973-744-8004
- Fax
- —
- Last updated
- May 17, 2008
Samuel C Pennella is a Dentist based in Upper Montclair, NJ. Samuel C Pennella practices in Upper Montclair, NJ and has the professional credentials of DDS. The NPI Number for Samuel C Pennella is 1417114505 and holds a License No. 09713 (NJ). The current practice location address for Samuel C Pennella is 76 Bellevue Ave, Upper Montclair, NJ 07043-2430 and can be reached out via phone at 973-744-8004.
Provider Profile Details
- NPI Number
- 1417114505
- Provider Name
- Samuel C Pennella
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 76 Bellevue Ave, Upper Montclair, NJ 07043-2430
- Phone Number
- 973-744-8004
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 17, 2008
- Last Update Date
- May 17, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 76 Bellevue Ave
Upper Montclair, NJ 07043-2430 - City
- Upper Montclair
- State
- New Jersey
- Zip
- 07043-2430
- Phone Number
- 973-744-8004
Provider Business Mailing Address Details
- Address
- 76 Bellevue Ave
Upper Montclair, NJ 07043-2430 - City
- Upper Montclair
- State
- NJ
- Zip
- 07043-2430
- Phone Number
- 973-744-8004
License Information
- License Number
- 09713
- License State
- NJ
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Samuel C Pennella, DDS?
The NPI number of Dr. Samuel C Pennella, DDS is 1417114505. It was assigned on May 17, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Samuel C Pennella, DDS?
Dr. Samuel C Pennella, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 09713.
Where does Dr. Samuel C Pennella, DDS practice?
The practice location is 76 Bellevue Ave, Upper Montclair, NJ 07043-2430. The office can be reached at 973-744-8004 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417114505 directly on the NPPES registry website.