Organization · NPI-2

Barry Fenner DDS PC

Dentist · Middletown, NY

NPI number1003980095
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1003980095
Entity type
Organization (NPI-2)
Legal business name
Barry Fenner DDS PC
Organization subpart
No
Enumeration date
Nov 20, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist028030NYYes

Practice location

831 Route 211 East
Middletown, NY 10941

Phone 845-692-5311 · Fax 845-692-6778

Mailing address

831 Route 211 East
Barry Fenner DDS PC
Middletown, NY 10941

Phone 845-692-5311 · Fax 845-692-6778

Authorized official

Barry Fenner
President
8456925311

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