Dr. Marvin William Petashnick is a Fondulac, Wisconsin based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Marvin William Petashnick is 40019521 for Dentistry in Wisconsin. His current practice location is 545 E Johnson St, Fondulac. Patients can reach him at 920-924-9090.
Dr. Marvin William Petashnick is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Marvin William Petashnick speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Marvin William Petashnick
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
545 E Johnson St, Fondulac, Wisconsin, 54935
Phone:
920-924-9090
Fax:
920-921-0800
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1932113800
NPI Enumeration Date:
28 Jul, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Marvin William Petashnick are as mentioned below.
License Number
Specialization
State
Status
40019521
Dentistry
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Marvin William Petashnick such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
33519300
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5438 W Lake Dr, West Bend, Wisconsin
Zip:
53095
Phone Number:
262-644-8289
Patients can reach Dr. Marvin William Petashnick at 545 E Johnson St, Fondulac, Wisconsin or can call to book an appointment on 920-924-9090. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.