Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366925059 Individual Practitioner Male Practitioner

Dr. Nicholas Gilbert Persicketti , DDS

Dentist - General Practice • Stratford, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Persicketti, DDS is a registered healthcare professional specializing in Dentist - General Practice in Stratford, NJ. Practice services are available at 212 N WHITE HORSE PIKE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

212 N White Horse Pike

Stratford, NJ 080841224

Telephone 8567841540
Associated Practice Facility / Clinic
🏢 Prime Dental Center Facility NPI 1215633961

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Stratford, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Stratford, NJ (4316 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NJ 22DI02722100

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1013145630

Doctor of Dental Surgery

NPI 1922215375

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 10, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2018

Registered at 212 N WHITE HORSE PIKE, STRATFORD, NJ 080841224 (Tel: 8567841540)

📍
Updated Business Mailing Address September 10, 2018

Registered at 212 N WHITE HORSE PIKE, STRATFORD, NJ 080841224 (Tel: 8567841540)

👤
Provider Name / Credentials Updated September 10, 2018

Recorded as NICHOLAS PERSICKETTI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2018

Dentist (License #22DI02722100 in NJ)

🟢
Initial NPI Registration & Enumeration September 10, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366925059
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2018
Last Update: September 10, 2018
Sole Proprietor: No

Mailing Address

212 N White Horse Pike

Stratford, NJ 080841224

Phone: 8567841540

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.