Organization Active NPI

Frank T. Petruzzello, D.D.S., P.C.

  • General Practice Dentistry
  • Sterling Heights, MI
National Provider Identifier
1669438818
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901017505 Issued in MI
Legal business name
FRANK T. PETRUZZELLO, D.D.S., P.C.
Practice address
8202 Irving Rd
Suite 300
Sterling Heights, MI 48312-4614
Phone
(586) 978-3900
Fax
(586) 978-0214
NPI assigned
Apr 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Frank T Petruzzello, D.D.S.NPI 1689686016
Title
Dentist
Phone
(586) 978-3900

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901017505 MI Primary

Addresses

Primary practice location

8202 Irving Rd
Suite 300
Sterling Heights, MI 48312-4614

Mailing address

8202 Irving Rd
Suite 300
Sterling Heights, MI 48312-4614
Phone (586) 978-3900

National Provider Directory

National Provider Directory

Locations

8202 Irving Rd
Ste 300
Sterling Heights, MI 48312
Phone (586) 978-3900

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": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669438818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 IRVING RD",
            "address_2": "SUITE 300",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483124614",
            "telephone_number": "586-978-3900",
            "fax_number": "586-978-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 IRVING RD",
            "address_2": "SUITE 300",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483124614",
            "telephone_number": "586-978-3900",
            "fax_number": "586-978-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK T. PETRUZZELLO, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETRUZZELLO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "586-978-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.