Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RAYMOND WAYNE PETRUNICH, D.D.S.
Active Sole ProprietorDR. RAYMOND WAYNE PETRUNICH, D.D.S. is a Orthodontics & Dentofacial Orthopedics healthcare provider located in NEWARK, Delaware. NPI 1649220526 is currently active in the NPPES registry. Verify at CMS.
Orthodontics & Dentofacial Orthopedics · NEWARK, DE
Registration Details
- NPI Number
- 1649220526
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2006 (20.297120957809 yrs)
- Last Updated
- Jan 9, 2017
- License
-
G1-001136 (DE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2444 PULASKI HWY#100NEWARK, DE, 197023906Browse DE providers · Browse ZIP 19702
- Phone
- 3028363565
- Fax
- 3028360868
- Primary Specialty
-
Orthodontics & Dentofacial Orthopedics
1223P0106X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.