NPI 1285334979

Natallia Petrushenka

Practitioner Dentist Great Barrington, MA

Practice location

Address: 444 Stockbridge Rd, Great Barrington, MA 01230-1295
Phone: (413) 528-9311
Mailing address: 1200 Hillside Ave APT 501, Niskayuna, NY 12309-3559

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DN1860022 (MA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1285334979
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Mar 2023
Record last updated: 14 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.