Active NPIIndividual provider

Frank A Pettisani Sr., DMD

Dentist, General Practice in Vineland, New Jersey

NPI Number1699875575
Practice location
1500 S Lincoln Ave, Vineland, NJ 03361
Fax
856-691-3370
Last updated
July 8, 2007

Frank A Pettisani is a Dentist, General Practice based in Vineland, NJ. Frank A Pettisani practices in Vineland, NJ and has the professional credentials of DMD. The NPI Number for Frank A Pettisani is 1699875575 and holds a License No. 22D100727200 (NJ). The current practice location address for Frank A Pettisani is 1500 S Lincoln Ave, Vineland, NJ 03361 and can be reached out via phone at 856-691-2553 and via fax at 856-691-3370.

Provider Profile Details

NPI Number
1699875575
Provider Name
Frank A Pettisani
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1500 S Lincoln Ave, Vineland, NJ 03361
Phone Number
856-691-2553
Fax Number
856-691-3370
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
September 22, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1500 S Lincoln Ave
Vineland, NJ 03361
Zip
03361
Phone Number
856-691-2553
Fax Number
856-691-3370
Vineland, NJ 03361Get directions →

Provider Business Mailing Address Details

Address
1500 S Lincoln Ave
Vineland, NJ 03361
City
Vineland
State
NJ
Zip
03361
Phone Number
856-691-2553
Fax Number
856-691-3370

License Information

License Number
22D100727200
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Frank A Pettisani Sr., DMD?

The NPI number of Frank A Pettisani Sr., DMD is 1699875575. It was assigned on September 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Frank A Pettisani Sr., DMD?

Frank A Pettisani Sr., DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22D100727200.

Where does Frank A Pettisani Sr., DMD practice?

The practice location is 1500 S Lincoln Ave, Vineland, NJ 03361. The office can be reached at 856-691-2553 (phone) or 856-691-3370 (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 1699875575 directly on the NPPES registry website.

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