Eugene Petti DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16648 Issued in MA

Legal business name

EUGENE PETTI DDS PC

Practice address

5230 Washington St
West Roxbury, MA 02132-6346

Phone

(617) 325-4633

NPI assigned

Apr 10, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Rosemarie Petti

Title

Office Manager

Phone

(508) 269-5326

Specialties & licenses 1

Addresses

Practitioners 2

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

• Eugene Petti, DDS

  • General Practice Dentistry
  • West Roxbury, MA
  • NPI 1275631392
  NPD (past)
• Mahesh Sadhnani, D.M.D., M.P.H.

  • General Practice Dentistry
  • West Roxbury, MA
  • NPI 1306101126
  NPD (past)

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1497928352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 WASHINGTON ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021326346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 WASHINGTON ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021326346",
            "telephone_number": "617-325-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE PETTI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "PETTI",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-269-5326",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emil Horowitz, O.D., PC
• Carl Engmann
• John Anthony Enis, M.D.
• Emily Carras Cokorinos Erb, MD
• Elyssa Elizabeth Erwin
• Patricia Faletra, LICSW
• Leender Jack Faling, MD
• Family Dentistry of West Roxbury PLLC
• Lisa Fanciullo, O.D.
• Lindsey Anne Farrell, PHARM.D.

• General Practice Dentistry in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.