Individual provider · Type 1 NPI

Mark John Pettrone, DMD

General Practice Dentistry · Averill Park, NY

NPI number 1356448146 Active

Practice location

86 Mountain View Dr
Averill Park, NY 12018-2313

Fax (518) 674-0778

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X32826 (NY)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1356448146

Mark John Pettrone, DMD's National Provider Identifier is 1356448146, issued on Sep 20, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Averill Park, NY. The record was last updated on Jul 8, 2007.