person
Dr. Scott Mark Fertik, DDS
Periodontist in Providence, Rhode Island
NPI 1982810214

Scott Mark Fertik is a Periodontist based in E Greenwich, RI and is specialized in Periodontics. Scott Mark Fertik practices in Providence, RI and has the professional credentials of DDS. The NPI Number for Scott Mark Fertik is 1982810214 and holds a License No. DEN02345 (Rhode Island).

The current practice location address for Scott Mark Fertik is 167 Gano St, Providence, RI and can be reached out via phone at 401-274-2600 and via fax at 401-421-7875.

Location: 167 Gano St, Providence, RI, 02818-1649
person
Provider Profile Details
NPI Number
1982810214
Provider Name
Scott Mark Fertik
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
167 Gano St, Providence, RI, 02818-1649
Phone Number
401-274-2600
Fax Number
401-421-7875
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
167 Gano St
City
State
Zip
02906-3808
Phone Number
401-274-2600
Fax Number
401-421-7875
person
Provider Business Mailing Address Details
Address
167 Gano St
City
State
Zip
02906-3808
Phone Number
401-274-2600
Fax Number
401-421-7875
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
DEN02345 (Rhode Island)
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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