Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremiah David Penberthy, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386431310

Jeremiah David Penberthy, DMD is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Works from 4 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2025
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Boston, MA

Additional practice locations (3)

  • 999 Saratoga St, East Boston, MA 02128-1238 — (617) 569-2761
  • 140 Union St Ste 303, Lynn, MA 01901-1326 — (781) 592-4438
  • 123 Revere St, Revere, MA 02151-4439 — (617) 377-7924

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN10000823 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence DN10000823 (MA)

Record details

NPI number1386431310
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 23, 2025
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026

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