Lisa Marie Petti, D.D.S.

General Practice Dentistry · Wickliffe, OH

Individual Active NPI

NPI number 1265767420

Practice location

29090 Euclid Ave.
Wickliffe, OH 44092
Phone
(440) 943-0266
Fax
(440) 943-0292

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NPI record

NPI
1265767420
Entity type
Individual (Type 1)
Enumeration date
October 6, 2009
Last updated
October 6, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 30.017615 OH

About Dr. Petti

Lisa Marie Petti, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 29090 Euclid Ave., Wickliffe, OH 44092. The NPI number 1265767420 was assigned on October 6, 2009 and the record was last updated on October 6, 2009.

Dr. Petti lists a license in the registry: #30.017615 (OH) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lisa Marie Petti, D.D.S.?

The NPI number is 1265767420.

What is the phone number of Dr. Petti?

The phone number listed for the practice location is (440) 943-0266.

Where is Dr. Petti located?

29090 Euclid Ave., Wickliffe, OH 44092.

What is the taxonomy code for Dr. Petti?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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