DR. ALEXIS MARIE PETTISANI DMD
NPI 1114814068
Dentist - General Practice in Vineland, NJ

Active since June 23, 2025
1500 S LINCOLN AVE, VINELAND, NJ 08361(856) 691-2553 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alexis Marie Pettisani Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALEXIS MARIE PETTISANI DMD (NPI 1114814068) is an individual general practice provider in Vineland, New Jersey, licensed in New Jersey (22DI03100900) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1114814068
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ALEXIS MARIE PETTISANICredential: DMD
Location Address1500 S LINCOLN AVEVineland, NJ 08361-6610
Mailing Address113 N Nassau AveMargate City, NJ 08402-1443 · (856) 685-9274
Sole ProprietorNo
Enumeration DateJune 23, 2025
NPPES CertifiedJune 23, 2025
NPI 1114814068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NJ · 22DI03100900
Definition
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.
1500 S LINCOLN AVE, Vineland, NJ 08361

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1500 S LINCOLN AVE
VINELAND, NJ 08361
Dentist (General Practice)
1500 S LINCOLN AVE
VINELAND, NJ 08361
Dentist (General Practice)
1500 S LINCOLN AVE
VINELAND, NJ 08361
Dentist
1500 S LINCOLN AVE
VINELAND, NJ 08361
Dentist (General Practice)
1500 S LINCOLN AVE
VINELAND, NJ 08361
Dentist (General Practice)
1500 S LINCOLN AVE
VINELAND, NJ 08361
Dentist (General Practice)
1500 S LINCOLN AVE
VINELAND, NJ 08361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexis Pettisani's NPI number?

The NPI number for Alexis Pettisani is 1114814068. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Where is Alexis Pettisani located?

Alexis Pettisani practices at 1500 S Lincoln Ave, Vineland, NJ 08361. The listed phone number is (856) 691-2553.

What is Alexis Pettisani's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Alexis Pettisani was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.