David Mark Petrucco, DDS

Dentist · Harrison, NY

Individual Active NPI

NPI number 1275603052

Practice location

149 Halstead Ave
Harrison, NY 10528-4137
Phone
(914) 835-3488
Fax
(914) 835-3498

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NPI record

NPI
1275603052
Entity type
Individual (Type 1)
Enumeration date
November 8, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 036894 NY

About Dr. Petrucco

David Mark Petrucco, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 149 Halstead Ave, Harrison, NY 10528-4137. The NPI number 1275603052 was assigned on November 8, 2006 and the record was last updated on July 8, 2007.

Dr. Petrucco lists a license in the registry: #036894 (NY) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of David Mark Petrucco, DDS?

The NPI number is 1275603052.

What is the phone number of Dr. Petrucco?

The phone number listed for the practice location is (914) 835-3488.

Where is Dr. Petrucco located?

149 Halstead Ave, Harrison, NY 10528-4137.

What is the taxonomy code for Dr. Petrucco?

The primary taxonomy code is 122300000X – Dentist.

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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