IndividualActive
Gregory Penney, DDS
NPI 1356460372 · General Practice Dentistry · Jericho, VT
Provider details
- NPI number
- 1356460372
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 0160002192 (VT)
Specialties & taxonomies
Dental Providers
Practice location
22 Raceway Rd
Jericho, VT 05465-2100
Phone: (802) 899-3973
Fax: (802) 899-5895
Approximate (ZIP-level) locationGet directions
Mailing address
22 Raceway Rd
Jericho, VT 05465-2100
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.