NPIMap

Organization Active NPI

Stephen G Petinge DMD PA

  • General Practice Dentistry
  • Saugus, MA
National Provider Identifier
1356473276
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16182 Issued in MA
Legal business name
STEPHEN G PETINGE DMD PA
Doing business as
Petinge Dental
Practice address
15 Essex St
Saugus, MA 01906-4309
Phone
(781) 233-8248
Fax
(781) 233-1385
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Stephen G. Petinge, D.M.D.NPI 1851422901
Title
Owner
Phone
(781) 233-8248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 16182 MA Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

15 Essex St
Saugus, MA 01906-4309

Mailing address

15 Essex St
Saugus, MA 01906-4309
Phone (781) 233-8248

Other names 1

  • Petinge Dental Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251118002885 MA DME Supplier - Oral Surgery - Dentist 1850882762 Practice locations: Saugus, MA

National Provider Directory

National Provider Directory

Locations

15 Essex St
Saugus, MA 01906
Phone (781) 233-8248

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1356473276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ESSEX ST",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019064309",
            "telephone_number": "781-233-8248",
            "fax_number": "781-233-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ESSEX ST",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019064309",
            "telephone_number": "781-233-8248",
            "fax_number": "781-233-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN G PETINGE DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "PETINGE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-233-8248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16182",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Petinge Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saugus, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.