Kristin Beth Petulla, DDS

Dentist · Marlton, NJ

Individual Active NPI

NPI number 1922274745

Practice location

43 East Main Street
Marlton, NJ 08053
Phone
(856) 983-4846
Fax
(856) 983-1054

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NPI record

NPI
1922274745
Entity type
Individual (Type 1)
Enumeration date
May 1, 2008
Last updated
May 1, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DI19324 NJ

About Dr. Petulla

Kristin Beth Petulla, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 43 East Main Street, Marlton, NJ 08053. The NPI number 1922274745 was assigned on May 1, 2008 and the record was last updated on May 1, 2008.

Dr. Petulla lists a license in the registry: #DI19324 (NJ) 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 Kristin Beth Petulla, DDS?

The NPI number is 1922274745.

What is the phone number of Dr. Petulla?

The phone number listed for the practice location is (856) 983-4846.

Where is Dr. Petulla located?

43 East Main Street, Marlton, NJ 08053.

What is the taxonomy code for Dr. Petulla?

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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