DR. ROBERT NICHOLAS PETROSINO


Address: 1751 Massachusetts Avenue, Cambridge, MA 02140
Phone: 6174916800

DR. ROBERT NICHOLAS PETROSINO (NPI# 1275547796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275547796
Entity Type Individual
Full Name DR. ROBERT NICHOLAS PETROSINO
Credential DMD
Practice Address 1751 Massachusetts Avenue
Cambridge
MA 02140
Mailing Address 43 Eliot Road
Needham
MA 02494
Practice Telephone 6174916800
Practice Fax Number 6174914424
Mailing Telephone 7814497967
Enumeration Date 2006-07-28
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
14460 MA Dental Providers

Office Location

Street Address 1751 MASSACHUSETTS AVENUE
City CAMBRIDGE
State MA
Zip Code 02140

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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851890776 Pramod Soparkar Dentist The Forsyth Institute, 245 First St, Cambridge, MA 02142 2018-02-06
1720445331 Ahmed Keles Dentist 245 First St Cambridge, 17th Floor, Cambridge, MA 02142 2016-01-27
1679835292 Karen Milkosky Curran Dentist 21 Lee St Apt 1, Cambridge, MA 02139-2244 2012-06-10
1568731107 Elwood Marston Jones IIi Dentist 28 Bellevue Ave, Cambridge, MD 21613-1252 2011-12-28
1548584659 Orthodontics of Cambridge, PC Dentist 186 Concord Avenue, Cambridge, MA 02138-2318 2010-03-18
1720245228 Nelson and Hertzberg Orthodontics of Cambridge LLC Dentist 186 Concord Ave, Cambridge, MA 02138-2318 2008-05-21
1407025521 Bradley Lee Videen Dentist 140 Birch St N Ste 106, Cambridge, MN 55008-1547 2008-02-22
1124244603 Cambridge Orthodontics Pa Dentist 140 Birch St N, #106, Cambridge, MN 55008 2007-04-17
1841344934 Brent Lee Harris Dentist 61121 Southgate Rd, Cambridge, OH 43725-8533 2007-01-23
1215040274 Robert Agnew Toomey Dentist 417 Academy St, Cambridge, MD 21613-1808 2006-08-16
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Competitor

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City CAMBRIDGE
Zip Code 02140

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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