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

MARK COLLINSWORTH, RDH

Active

MARK COLLINSWORTH, RDH is a Dental Hygienist healthcare provider located in PENN YAN, New York. NPI 1740772110 is currently active in the NPPES registry. Verify at CMS.

Dental Hygienist · PENN YAN, NY

Registration Details

NPI Number
1740772110
Provider Type
Individual
Gender
Male
NPI Issued
Jun 1, 2018 (8.2184758435522 yrs)
Last Updated
Jun 1, 2018
License
017629 (NY)

Practice Information

Address
160 MAIN ST
PENN YAN, NY, 145271204
Browse NY providers · Browse ZIP 14527
Phone
3155319102
Primary Specialty
Dental Hygienist
124Q00000X
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.