David Mark Petrucco in Harrison - Dentist

David Mark Petrucco - NPI 1275603052

David Mark Petrucco is a Dentist in Harrison, New York. David Mark Petrucco practices all healthcare services and medical treatments related to Dentist. The NPI Number for David Mark Petrucco is 1275603052. The last update date is 2007-07-08.

David Mark Petrucco's current location address is 149 Halstead Ave, Harrison, New York. You can contact this provider via phone number 9148353488 and fax number 9148353498. The mailing address for David Mark Petrucco is 149 Halstead Ave, Harrison, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name David Mark Petrucco
Address 149 Halstead Ave, Harrison, New York
Phone Number 9148353488
Fax Number 9148353498
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1275603052
Provider Enumeration Date 2006-11-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 149 Halstead Ave
City Harrison
State New York (NY)
Post Code 105284137
Phone Number 9148353488
Fax Number 9148353498

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 36894
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about David Mark Petrucco

What is the unique identifier code issued to David Mark Petrucco by the Centers for Medicare & Medicaid Services?

The David Mark Petrucco has been assigned the NPI (National Provider Identifier) 1275603052. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where David Mark Petrucco is geographically located?

The David Mark Petrucco is physically situated at the following location: 149 Halstead Ave, Harrison, NY, 105284137.

What is the David Mark Petrucco's area of specialization and corresponding taxonomy classification?

The David Mark Petrucco's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.

When did the David Mark Petrucco receive its 1275603052?

The David Mark Petrucco was issued its 1275603052 on 2006-11-08, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to David Mark Petrucco, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to David Mark Petrucco, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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