Active NPIIndividual providerSole proprietor

Dr. Marina Pettengill, DDS

Dentist, General Practice in Plainville, Massachusetts

NPI Number1982622122
Practice location
74 Taunton St, Suite 101, Plainville, MA 02762-2166
Fax
508-699-2910
Last updated
July 8, 2007

Marina Pettengill is a Dentist, General Practice based in Plainville, MA. Marina Pettengill practices in Plainville, MA and has the professional credentials of DDS. The NPI Number for Marina Pettengill is 1982622122 and holds a License No. 19915 (MA). The current practice location address for Marina Pettengill is 74 Taunton St, Suite 101, Plainville, MA 02762-2166 and can be reached out via phone at 508-699-2221 and via fax at 508-699-2910.

Provider Profile Details

NPI Number
1982622122
Provider Name
Marina Pettengill
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
74 Taunton St, Suite 101, Plainville, MA 02762-2166
Phone Number
508-699-2221
Fax Number
508-699-2910
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Other Names
Dr. Marina Pettengill, DDS (Former Name)
Provider Enumeration Date
July 17, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
74 Taunton St
Suite 101
Plainville, MA 02762-2166
Zip
02762-2166
Phone Number
508-699-2221
Fax Number
508-699-2910
Plainville, MA 02762Get directions →

Provider Business Mailing Address Details

Address
74 Taunton St
Suite 101
Plainville, MA 02762-2166
City
Plainville
State
MA
Zip
02762-2166
Phone Number
508-699-2221
Fax Number
508-699-2910

License Information

License Number
19915
License State
MA
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 Dr. Marina Pettengill, DDS?

The NPI number of Dr. Marina Pettengill, DDS is 1982622122. It was assigned on July 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Marina Pettengill, DDS?

Dr. Marina Pettengill, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 19915.

Where does Dr. Marina Pettengill, DDS practice?

The practice location is 74 Taunton St, Suite 101, Plainville, MA 02762-2166. The office can be reached at 508-699-2221 (phone) or 508-699-2910 (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 1982622122 directly on the NPPES registry website.

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