Dr. Gary J Petenko, DMD
Dentist, General Practice in Marlboro, New Jersey
1205924149- Practice location
- 3 Palomino Way, Marlboro, NJ 07746-1948
- Phone
- 732-462-7072
- Fax
- 732-294-7714
- Last updated
- March 31, 2010
Gary John Petenko is a Dentist, General Practice based in Marlboro, NJ. Gary John Petenko practices in Marlboro, NJ and has the professional credentials of DMD. The NPI Number for Gary John Petenko is 1205924149 and holds a License No. DIO1093200 (NJ). The current practice location address for Gary John Petenko is 3 Palomino Way, Marlboro, NJ 07746-1948 and can be reached out via phone at 732-462-7072 and via fax at 732-294-7714.
Provider Profile Details
- NPI Number
- 1205924149
- Provider Name
- Gary John Petenko
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3 Palomino Way, Marlboro, NJ 07746-1948
- Phone Number
- 732-462-7072
- Fax Number
- 732-294-7714
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 10, 2006
- Last Update Date
- March 31, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3 Palomino Way
Marlboro, NJ 07746-1948 - City
- Marlboro
- State
- New Jersey
- Zip
- 07746-1948
- Phone Number
- 732-462-7072
- Fax Number
- 732-294-7714
Provider Business Mailing Address Details
- Address
- 3 Palomino Way
Marlboro, NJ 07746-1948 - City
- Marlboro
- State
- NJ
- Zip
- 07746-1948
- Phone Number
- 732-462-1063
- Fax Number
- 732-294-7714
License Information
- License Number
- DIO1093200
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Marlboro, NJ
View all Dentist, General Practice providers in Marlboro →- Dr. Abbas A Razvi, DDSDentist, General Practice · NPI 1932434180
- Dr. Brian M Furie, DMDDentist, General Practice · NPI 1568545986
- Dr. Gerald M Blumenfeld, DDSDentist, General Practice · NPI 1205039880
- Dr. Stuart S Albin, DMDDentist, General Practice · NPI 1306830757
- Dr. Warren Furie, DDSDentist, General Practice · NPI 1386708410
- Dr. Wayne Graber And Dr. Brian M. Peters, P.a.Dentist, General Practice · NPI 1467511873
Frequently Asked Questions
What is the NPI number of Dr. Gary J Petenko, DMD?
The NPI number of Dr. Gary J Petenko, DMD is 1205924149. It was assigned on October 10, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Gary J Petenko, DMD?
Dr. Gary J Petenko, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number DIO1093200.
Where does Dr. Gary J Petenko, DMD practice?
The practice location is 3 Palomino Way, Marlboro, NJ 07746-1948. The office can be reached at 732-462-7072 (phone) or 732-294-7714 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205924149 directly on the NPPES registry website.