Dr. Paul S Petrungaro
Dentist Periodontist
330 W Frontage Rd Fl 2b
Northfield
, Illinois 60093-3467
Dr. Paul S Petrungaro
Dentist Periodontist
330 W Frontage Rd Fl 2b
Northfield
, Illinois 60093-3467
(847) 386-7169
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About
Features
Specialties
- Dentist
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Paul S Petrungaro
- 330 W Frontage Rd Fl 2b
- Northfield, IL
- Zip : 60093-3467
- Fax : (847) 386-7169
- Phone : (847) 386-6351
Second Address
- Dr. Paul S Petrungaro
- 330 W Frontage Rd Fl 2b
- Northfield, IL
- Zip : 60093-3467
- Fax : (847) 386-7169
- Phone : (847) 386-6351
Reviews
FAQs
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Is Dr. Paul S Petrungaro a sole practitioner?
Is Dr. Paul S Petrungaro accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | 019.020118 | IL |
| N | 1223P0300X | Periodontist | 021.001401 | IL |
National Provider Identifier
| NPI | 1063571974 |
|---|---|
| Provider Name | Dr. Paul S Petrungaro |
| First Address | Northfield, IL 60093-3467 |
| Second Address | Northfield, IL 60093-3467 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/12/2006 |
| Last Update Date | 08/02/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D11084 | STATE DENTAL LICENSE (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.