Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Scott Mark Fertik, DDS

Individual provider Periodontics · NPI 1982810214

Dr. Scott Mark Fertik, DDS is a Periodontics in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2007.

Licensed in
RI
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

167 Gano St
Providence, RI 02906-3808
Phone: (401) 274-2600
Fax: (401) 421-7875
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DEN02345 (RI)

Record details

NPI number1982810214
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 15, 2007
Last updated in NPPESJuly 8, 2007
Mailing address55 Signal Ridge Way, E Greenwich, RI 02818-1649

Other providers in Providence