Scott Mark Fertik in E Greenwich - Periodontics
Scott Mark Fertik - NPI 1982810214
Scott Mark Fertik is a Periodontics in E Greenwich, Rhode Island. Scott Mark Fertik practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Scott Mark Fertik is 1982810214. The last update date is 2007-07-08.
Scott Mark Fertik's current location address is 55 Signal Ridge Way, E Greenwich, Rhode Island. You can contact this provider via phone number 4018867999 and fax number 4014217875. The mailing address for Scott Mark Fertik is 55 Signal Ridge Way, E Greenwich, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Mark Fertik |
|---|---|
| Address | 55 Signal Ridge Way, E Greenwich, Rhode Island |
| Phone Number | 4018867999 |
| Fax Number | 4014217875 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1982810214 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 55 Signal Ridge Way |
|---|---|
| City | E Greenwich |
| State | Rhode Island (RI) |
| Post Code | 28181649 |
| Phone Number | 4018867999 |
| Fax Number | 4014217875 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DEN02345 |
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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 structure |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Scott Mark Fertik?
The Scott Mark Fertik has been issued the NPI (National Provider Identifier) 1982810214 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Scott Mark Fertik is physically located?
The Scott Mark Fertik is physically situated at the following address: 55 Signal Ridge Way, E Greenwich, RI, 28181649.
What is the area of specialization for Scott Mark Fertik, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Scott Mark Fertik is Periodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1982810214 to Scott Mark Fertik?
The Centers for Medicare & Medicaid Services assigned the 1982810214 to Scott Mark Fertik on 2007-05-15.
When was the information related to Scott Mark Fertik most recently updated or refreshed?
The details pertaining to the Scott Mark Fertik, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.