Doctor Name: | BRITTNEY ANN PENBERTHY |
NPI Number: | 1780023275 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.D.S |
License Number: | DEN-DEN-LIC-5941 |
Business Practice Address: | 123 S 27th St Billings, MT - 591014227 |
Business Phone Number: | 4066516436 |
Business Fax Number: | 4066516406 |
Mailing Address: | 17877 W Bison Trl, POST FALLS |
State: | ID |
Postal Code: | 838546737 |
Phone Number: | 2087711170 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2013 |
NPI Last Update Date: | 06/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | DEN-DEN-LIC-5941 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |