Individual provider · Type 1 NPI
Scott Mark Fertik, DDS
Periodontics · Providence, RI
NPI number
1982810214
Active
Practice location
167 Gano St
Providence, RI 02906-3808
Fax (401) 421-7875
Mailing address
55 Signal Ridge Way
East Greenwich, RI 02818-1649
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DEN02345 (RI) |
Periodontics: 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 structures and tissues.
4 other providers at this address
Other periodontics providers in Providence
- Donald Michael Kallio, DMDPeriodontics Providence, RI NPI 1205980604
- Steven Jay Peiser, DDSPeriodontics Providence, RI NPI 1225185747
- Denise M. Shapiro, DDSPeriodontics Providence, RI NPI 1467465054
- Erica Kleinbaum, DMDPeriodontics Providence, RI NPI 1558927228
- Jeffrey Bram Shapiro, DMDPeriodontics Providence, RI NPI 1639271554
- Peter Payne, DMDPeriodontics Providence, RI NPI 1699828640
- David Anthony Pezzullo, DMDPeriodontics Providence, RI NPI 1831101989
- John G. Broderick, DMDPeriodontics Providence, RI NPI 1841403953
About NPI 1982810214
Scott Mark Fertik, DDS's National Provider Identifier is 1982810214, issued on May 15, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Providence, RI. The record was last updated on Jul 8, 2007.