Active NPIOrganization

David M. Petrarca, DDS & Sungyon Bang, DMD, P.c.

Dentist, Pediatric Dentistry in Medford, Massachusetts

NPI Number1316915788
Practice location
80 High St, Medford, MA 02155-3813
Fax
—
Last updated
January 16, 2020

David M. Petrarca, DDS & Sungyon Bang, DMD, P.c. is a healthcare organization based in Medford, MA. David M. Petrarca, DDS & Sungyon Bang, DMD, P.c. practices in Medford, MA. The NPI Number for David M. Petrarca, DDS & Sungyon Bang, DMD, P.c. is 1316915788. The current practice location address for David M. Petrarca, DDS & Sungyon Bang, DMD, P.c. is 80 High St, Medford, MA 02155-3813 and can be reached out via phone at 781-391-8300.

Provider Profile Details

NPI Number
1316915788
Provider Name
David M. Petrarca, DDS & Sungyon Bang, DMD, P.c.
Provider Entity Type
Organization
Address
80 High St, Medford, MA 02155-3813
Phone Number
781-391-8300
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Dr. David Michael Petrarca, DDS · President · 781-391-8300
Provider Enumeration Date
March 10, 2006
Last Update Date
January 16, 2020
Certification Date
January 16, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
80 High St
Medford, MA 02155-3813
Zip
02155-3813
Phone Number
781-391-8300
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
80 High St
Medford, MA 02155-3813
City
Medford
State
MA
Zip
02155-3813
Phone Number
781-391-8300

License Information

License State (1)
MA
License State (2)
MA
Taxonomy (2)
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of David M. Petrarca, DDS & Sungyon Bang, DMD, P.c.?

The NPI number of David M. Petrarca, DDS & Sungyon Bang, DMD, P.c. is 1316915788. It was assigned on March 10, 2006 and is currently active in the NPPES registry.

What is the specialty of David M. Petrarca, DDS & Sungyon Bang, DMD, P.c.?

David M. Petrarca, DDS & Sungyon Bang, DMD, P.c. is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X).

Where does David M. Petrarca, DDS & Sungyon Bang, DMD, P.c. practice?

The practice location is 80 High St, Medford, MA 02155-3813. The office can be reached at 781-391-8300 (phone).

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 1316915788 directly on the NPPES registry website.

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