DAVID M. PETRARCA, DDS & SUNGYON BANG, DMD, P.C.


Address: 80 High St, Medford, MA 02155-3813
Phone: 7813918300

DAVID M. PETRARCA, DDS & SUNGYON BANG, DMD, P.C. (NPI# 1316915788) 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) 1316915788
Entity Type Organization
Organization Name DAVID M. PETRARCA, DDS & SUNGYON BANG, DMD, P.C.
Practice Address 80 High St
Medford
MA 02155-3813
Practice Telephone 7813918300
Mailing Telephone 7813918300
Enumeration Date 2006-03-10
Last Update Date 2020-01-16
Authorized Official Name DR. DAVID MICHAEL PETRARCA (PRESIDENT)
Authorized Official Telephone 7813918300
Authorized Official Credential D.D.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
MA Dental Providers
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
MA Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
175 Littleton Rd, Westford, MA 018863196 9783929800

Office Location

Street Address 80 HIGH ST
City MEDFORD
State MA
Zip Code 02155-3813

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336427665 Panasaya Buckley Dentist 80 High St, Medford, MA 02155-3872 2011-08-03
1609103795 Children's Dental Associates Dentist 80 High St, Medford, MA 02155-3872 2009-11-10
1679744668 Mystic Valley Orthodontics Dentist 80 High St, Suite 2, Medford, MA 02155-3872 2008-03-18
1538183751 Ryan Michael Clancy Dentist 80 High St, Medford, MA 02155-3872 2006-07-27
1336163377 Stephen Martin Lentine Jr. Dentist 80 High St, Medford, MA 02155-3872 2006-07-26
1487676342 Ryan M Clancy Dmd PC Dentist 80 High St, Medford, MA 02155-3872 2006-07-23
1770546491 Donna Hackley Dentist 80 High St, Medford, MA 02155-3813 2006-04-11
1922077130 Peter B. Geller Dentist 80 High St, Medford, MA 02155-3813 2006-03-17
1851360465 Robert Allen Frank Dentist 80 High St, Medford, MA 02155-3813 2006-03-16
1487623559 David M Petrarca Dentist 80 High St, Medford, MA 02155-3813 2006-03-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679113922 Elena Chapman Nurse Practitioner 293 Salem St 4, Medford, MA 02155 2020-01-14
1922658830 Michelle Anne Zona Counselor 100 George Hassett Dr, Medford, MA 02155 2019-09-13
1487138509 Dava Davainis Social Worker 76 Newbern Avenue, Apt. 1, Medford, MA 02155 2018-09-25
1265915128 Erin Roberts Counselor Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 2018-09-07
1871075739 Janice Madeline Cole Social Worker 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 2018-09-06
1447732573 Mystick Women's Health, Inc. Obstetrics & Gynecology 13 Bradlee Road, Medford, MA 02155 2018-09-05
1144713090 Laura Rogers Psychologist 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 2018-06-14
1871086694 Shuo Yang Dentist 8 9th St Apt 310, Medford, MA 02155 2018-06-07
1891287108 Xuhua Qin Psychologist 120 Curtis Street, Medford, MA 02155 2018-06-01
1568953529 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 471 Salem St, Medford, MA 02155 2018-05-25
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619476058 Kathryn Irene Vitiello Dentist 72 Woburn St, Medford, MA 02155-3419 2018-02-11
1962777193 Anne H Dennehy Dds Dentist 801 E Main St Ste 101, Medford, OR 97504-7169 2012-03-21
1164567624 Scott Louis Goldstein Dentist 1719 N Ocean Ave Ste C, Medford, NY 11763-2669 2007-02-21
1306945381 Pamela J Ortiz Dentist 691 Murphy Rd Suite 210, Medford, OR 97504 2006-09-22
1932199163 David M Alex Dentist 1291 E Mcandrews Rd, Medford, OR 97504-6103 2005-10-27
1356334254 Steven Alan Frimkess Dentist 1150 Crater Lake Ave, Suite C, Medford, OR 97504-6213 2005-08-25
1427058296 Anne Heubach Dennehy Dentist 801 E Main St, Suite 101, Medford, OR 97504-7169 2005-07-22
1598262818 James Kolby Robinson, Dmd Dentist 1291 E Mcandrews Rd, Medford, OR 97504-6103 2018-04-12
1154711687 David M Alex Dds PC Dentist 1291 E Mcandrews Rd, Medford, OR 97504-6103 2015-02-05
1396085221 Bren Dixon Dmd LLC Dentist 1150 Crater Lake Ave, Suite C, Medford, OR 97504-6213 2013-03-01
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Competitor

Search similar providers

City MEDFORD
Zip Code 02155

Improve Information

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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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