Dr. David Michael Pencarinha
Dentist, Oral and Maxillofacial Surgery in Bartlett, TN. Individual provider (NPI-1).
NPI number1164043329
StatusActive
Last updated in NPPESJul 30, 2024
Details
- NPI
- 1164043329
- Entity type
- Individual (NPI-1)
- Name
- Dr. David Michael Pencarinha
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2020
- Certification date
- Jul 30, 2024
- Last updated
- Jul 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 0000012159 | TN | Yes |
Practice location
6425 Stage Rd Ste 1Bartlett, TN 38134-3731
Phone 901-754-8002
Mailing address
715 OaklawnMarion, AR 72364-9026
Phone 423-276-7459
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