Individual provider · Type 1 NPI

Jeffrey Robert Pentek, D.P.M.

Sports Medicine Podiatrist · Bainbridge Island, WA

NPI number 1124383583 Active

Practice location

1344 Wintergreen Ln NE
Bainbridge Island, WA 98110

Call (206) 842-5632 Map

Fax (206) 842-5992

Other practice locations

  • 28050 Grand River Ave, Farmington Hills, MI 48336-5919 · (248) 471-8822

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine Podiatrist Primary 213ES0000XPO60560146 (WA)
Foot & Ankle Surgery Podiatrist 213ES0103X5901002464 (MI)

Sports Medicine Podiatrist: Definition to come...

33 other providers at this address

About NPI 1124383583

Jeffrey Robert Pentek, D.P.M.'s National Provider Identifier is 1124383583, issued on Jul 11, 2012. The primary taxonomy on file is Sports Medicine Podiatrist (213ES0000X), and the practice location is in Bainbridge Island, WA. The record was last updated on Jun 18, 2018.