DR. RAYMOND WAYNE PETRUNICH (NPI# 1649220526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649220526 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND WAYNE PETRUNICH |
| Credential | D.D.S. |
| Practice Address |
2444 Pulaski Hwy #100 Newark DE 19702-3906 |
| Mailing Address |
2444 Pulaski Highway #100 Newark DE 19702-3906 |
| Practice Telephone | 3028363565 |
| Practice Fax Number | 3028360868 |
| Mailing Telephone | 3028363565 |
| Mailing Fax Number | 3028360868 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2017-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
G1-001136 | DE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 000014361 | 05 |
| Street Address |
2444 PULASKI HWY #100 |
| City | NEWARK |
| State | DE |
| Zip Code | 19702-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407467814 | Leilanie Redondiez | Physical Therapist | 110 Blue Ridge Circle, Newark, DE 19702 | 2020-08-11 |
| 1285118679 | A Center for Mental Wellness Community Support Programs, LLC | Substance Abuse Rehabilitation Facility | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-09-20 |
| 1124510854 | Shena Williams | Counselor | 1423 Capital Trail Rd, Newark, DE 19702 | 2018-05-30 |
| 1437664737 | Excellence Home Care LLC | Home Health | 122 Delaware Street, New Castle, DE 19702 | 2017-12-08 |
| 1710496773 | Kirt Leigh Randolph | Physical Therapy Assistant | 229 Barrett Run Place, Newark, DE 19702 | 2017-09-21 |
| 1871014399 | Edeline Elicin | Marriage & Family Therapist | 260 Chapman Road, Suite 100-b, Newark, DE 19702 | 2017-07-06 |
| 1831646454 | Rickia Izetta Spivey-kennedy | Counselor | 36 Avignon Drive, Newark, DE 19702 | 2016-09-01 |
| 1134585748 | Thomas Wolters | Pharmacist | 248 Chaoman Road, Newark, DE 19702 | 2016-01-12 |
| 1851700686 | Candice Roberts | Nurse Practitioner | 100 Biddle Ave Ste 101, Newark, DE 19702 | 2014-08-06 |
| 1316367428 | Evyline Chioma | Occupational Therapist | 25 Buttonwood Ct., Newark, DELAWARE 19702 | 2014-04-16 |
| Find all providers in zip 19702 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154734325 | Heller Oral Sugery LLC | Dentist | 639 Mount Prospect Ave Fl 2, Newark, NJ 07104-3109 | 2014-06-05 |
| 1982944724 | Harmony Wellnes Center | Dentist | 4133 Ogletown Stanton Rd, Newark, DE 19713-4168 | 2013-02-14 |
| 1053347096 | Steven Mark Baum | Dentist | 110 Bergen St, Umdnj Ds C-768, Newark, NJ 07103-2495 | 2006-06-23 |
| 1881653129 | Deborah Bruce Cleveland | Dentist | 110 Bergen Street, Njds, D860, Newark, NJ 07101-1709 | 2006-03-23 |
| 1144289547 | Lawrence Charles Schneider | Dentist | 110 Bergen St, Njds D860, Newark, NJ 07103-2495 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063548626 | Robert N Arm | Dentist | 501 W 14th St Rm 2234, Dept of Oral Maxillofacial Surgery & Hospital Dentistry, Wilmington, DE 19801-1013 | 2007-02-26 |
| 1952385122 | Christiana Care Health Services, Inc | Dentist | 501 W. 14th Street, Wilmington Hospital, Wilmington, DE 19899 | 2005-12-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.