Paul S. Petrungaro, DDS, MS
General Dentistry · Northfield, IL
UnclaimedDDS, MSNPI 1063571974
- Primary taxonomy
- 122300000X
- Enumerated
- 2006-12-06
- Practice location
- Northfield, IL
- Last NPPES update
- 2018-02-08
State licenses
- IL · Dentist · LICENSED SPECIALIST IN DENTISTRYInactivethrough 2027
- IL · Dentist · LICENSED DENTISTInactivethrough 2027
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.