IndividualActive
Marvin Petashnick, DDS
NPI 1932113800 · Dentist · Fondulac, WI
Marvin Petashnick, DDS is a Dentist provider in Fondulac, WI (NPI 1932113800).
Provider details
- NPI number
- 1932113800
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 40019521 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
545 E Johnson St
Fondulac, WI 54935
Phone: (920) 924-9090
Fax: (920) 921-0800
Street-level locationGet directions
Mailing address
5438 W Lake Dr
West Bend, WI 53095
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2007-07-08
Frequently asked questions
- What is Marvin Petashnick's NPI number?
- Marvin Petashnick's National Provider Identifier (NPI) is 1932113800, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marvin Petashnick's specialty?
- Marvin Petashnick is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Marvin Petashnick located?
- Marvin Petashnick's practice location on file with NPPES is 545 E Johnson St, Fondulac, WI 54935.
- What is Marvin Petashnick's phone number?
- The practice phone number listed in the NPPES registry for Marvin Petashnick is (920) 924-9090.
- Is Marvin Petashnick's NPI active?
- Yes — Marvin Petashnick's NPI (1932113800) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.