Individual provider · Type 1 NPI

David M. Petrarca, DDS

Pediatric Dentistry · Medford, MA

NPI number 1487623559 Active

Practice location

80 High St
Medford, MA 02155-3813

Mailing address

33 Summit Ave
Waltham, MA 02453-7731

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X19402 (MA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1487623559

David M. Petrarca, DDS's National Provider Identifier is 1487623559, issued on Mar 14, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Medford, MA. The record was last updated on Jul 13, 2026.