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Dr. Paul S Petrungaro, DDS,MS
Dentist in Northfield, Illinois
NPI 1063571974

Paul S Petrungaro is a Dentist based in Northfield, IL. Paul S Petrungaro practices in Northfield, IL and has the professional credentials of DDS,MS. The NPI Number for Paul S Petrungaro is 1063571974 and holds a License No. 021.001401 (Illinois).

The current practice location address for Paul S Petrungaro is 330 W Frontage Rd Fl 2B, Northfield, IL and can be reached out via phone at 847-386-6351 and via fax at 847-386-7169.

Location: 330 W Frontage Rd Fl 2B, Northfield, IL, 60093-3467
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063571974
Provider Name
Paul S Petrungaro
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
330 W Frontage Rd Fl 2B, Northfield, IL, 60093-3467
Phone Number
847-386-6351
Fax Number
847-386-7169
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D11084 01 MN STATE DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
330 W Frontage Rd Fl 2B
City
Northfield
State
Illinois
Zip
60093-3467
Phone Number
847-386-6351
Fax Number
847-386-7169
person
Provider Business Mailing Address Details
Address
330 W Frontage Rd Fl 2B
City
Northfield
State
Illinois
Zip
60093-3467
Phone Number
847-386-6351
Fax Number
847-386-7169
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
019.020118 (Illinois)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
021.001401 (Illinois)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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