IndividualActive
Alexis Pettisani, DMD
NPI 1114814068 · General Practice Dentistry · Vineland, NJ
Provider details
- NPI number
- 1114814068
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- 22DI03100900 (NJ)
Specialties & taxonomies
Dental Providers
Practice location
1500 S Lincoln Ave
Vineland, NJ 08361-6610
Phone: (856) 691-2553
Approximate (ZIP-level) locationGet directions
Mailing address
113 N Nassau Ave
Margate City, NJ 08402-1443
Registry dates
- Enumerated
- 2025-06-23
- Last updated
- 2025-06-23
- Certified
- 2025-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.