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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DIANE MANNING PENNINGTON, D.M.D., M.D.

Active

DR. DIANE MANNING PENNINGTON, D.M.D., M.D. is a Oral & Maxillofacial Surgery healthcare provider located in KINGSLAND, Georgia. NPI 1073695516 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · KINGSLAND, GA

Registration Details

NPI Number
1073695516
Provider Type
Individual
Gender
Female
NPI Issued
Oct 20, 2006 (19.782731919687 yrs)
Last Updated
Nov 19, 2015
License
DN011196 (GA)

Practice Information

Address
1891 GA HIGHWAY 40 E
SUITE 1104
KINGSLAND, GA, 315486572
Browse GA providers · Browse ZIP 31548
Phone
9126736545
Fax
9125761846
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.