IndividualActive
Jeffrey Pentek, D.P.M.
NPI 1124383583 · Sports Medicine Podiatrist · Bainbridge Island, WA
Provider details
- NPI number
- 1124383583
- Entity type
- Individual
- Primary specialty
- Sports Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- License
- PO60560146 (WA)
Practice location
1344 Wintergreen Ln Ne
Bainbridge Island, WA 98110
Phone: (206) 842-5632
Fax: (206) 842-5992
Mailing address
1344 Wintergreen Ln Ne
Bainbridge Island, WA 98110-5118
Registry dates
- Enumerated
- 2012-07-11
- Last updated
- 2018-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.