1. Home
  2. Directory
  3. Florida
  4. Fort Lauderdale
  5. Dentist
  6. NPI Profile

MR. JEROME J PETRISKO DMD
NPI 1174708523
Dentist in Fort Lauderdale, FL

Active since January 04, 2008
900 NE 26TH AVENUE, 2ND FLOOR, FORT LAUDERDALE, FL 33304(954) 566-4208(954) 566-5346 Get Directions Write a Review

NPPES record last updated: January 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jerome J Petrisko Dmd NPPES

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

MR. JEROME J PETRISKO DMD (NPI 1174708523) is an individual dentist in Fort Lauderdale, Florida, licensed in Florida (DN6949) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1174708523
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. JEROME J PETRISKOCredential: DMD
Location Address900 NE 26TH AVENUE, 2ND FLOORFort Lauderdale, FL 33304
Mailing Address900 Ne 26th Avenue, 2nd FloorFort Lauderdale, FL 33304 · (954) 566-4208 · Fax (954) 566-5346
Phone(954) 566-4208
Fax(954) 566-5346
Sole ProprietorNo
Enumeration DateJanuary 4, 2008
✔ NPI 1174708523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN6949
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
900 NE 26TH AVENUE, Fort Lauderdale, FL 33304
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

MRS. DANA A FAHEY DMD
Dentist
900 NE 26TH AVENUE, 2ND FLOOR
FORT LAUDERDALE, FL 33304
Broward County (954) 566-4208

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 Jerome Petrisko's NPI number?

The NPI number for Jerome Petrisko is 1174708523. It was assigned to this individual provider in the NPPES registry on January 4, 2008.

Where is Jerome Petrisko located?

Jerome Petrisko practices at 900 NE 26th Avenue 2nd Floor, Fort Lauderdale, FL 33304. The listed phone number is (954) 566-4208.

What is Jerome Petrisko's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jerome Petrisko was last updated on January 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.