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PETER PETERSON & JESSE SORRENTINO P.C. NPI 1215149596


NPI Information

NPI: 1215149596
Provider Name: PETER PETERSON & JESSE SORRENTINO P.C.

Former Legal Business Name: JOHN BIERLY DMD AND PETER J PETERSON DMD PC

Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
291 FARMINGTON AVE
FARMINGTON, CT
ZIP 06032
Phone: (860) 677-8747
Get Directions

PETER PETERSON & JESSE SORRENTINO P.C. is a periodontics dentist in Farmington, CT. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PETER PETERSON & JESSE SORRENTINO P.C. NPI is 1215149596. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is John Bierly Dmd And Peter J Peterson Dmd Pc.

The provider's business location address is:

291 FARMINGTON AVE
FARMINGTON, CT
ZIP 06032-925
Phone: (860) 677-8747
Fax: (860) 674-9670

The provider's authorized official is Jesse M Sorrentino .
The authorized official title is Partner and has the following contact phone number (860) 677-8747.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 12/2/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodontics7255CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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