SearchRhode IslandPeriodontics

Scott Fertik, DDS

NPI 1982810214 · on the registry since 2007

Practice

Address
167 Gano St
Providence, RI 02906
Phone
(401) 274-2600
Fax
(401) 421-7875
Organisation at this address
Periodontics Incorporated
Silk Physical Therapy Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Periodontics
1223P0300X
Licence states on file
RI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island