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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.