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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NATHANIEL FASIKA PETROS DMD
NPI 1437084852
Student in an Organized Health Care Education/Training Program in Kingston, PA

Active since June 16, 2026
500 3RD AVE, KINGSTON, PA 18704(570) 288-5588 Get Directions Write a Review

NPPES record added: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nathaniel Fasika Petros Dmd NPPES

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

NATHANIEL FASIKA PETROS DMD (NPI 1437084852) is an individual student in an organized health care education/training program in Kingston, Pennsylvania and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1437084852
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNATHANIEL FASIKA PETROSCredential: DMD
Location Address500 3RD AVEKingston, PA 18704-5810
Mailing Address122 Woodland DrWhite Haven, PA 18661-2439
Phone(570) 288-5588
Sole ProprietorNo
Enumeration DateJune 16, 2026
Last NPPES UpdateJuly 22, 2026
NPPES CertifiedJuly 22, 2026
✔ NPI 1437084852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
500 3RD AVE, Kingston, PA 18704
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Other Providers at the Same Location NPPES 8

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

MY VIVE HEALTH AND FITNESS INC
Clinic/Center
500 3RD AVE
KINGSTON, PA 18704
Luzerne County (570) 371-3572
DR. PAUL R. MANCIA DDS
Dentist (Endodontics)
500 3RD AVE
KINGSTON, PA 18704
Luzerne County (570) 331-0824
DENTAL SPECIALISTS OF NEPA
Dentist (Endodontics)
500 3RD AVE
KINGSTON, PA 18704
Luzerne County (570) 331-0824
APRIL MURPHY RDN, LDN
Dietitian, Registered
500 3RD AVE
KINGSTON, PA 18704
Luzerne County (570) 371-3572
DR. HEATHER MARSICO PT,DPT
Physical Therapist
500 3RD AVE
KINGSTON, PA 18704
Luzerne County (570) 714-0933
LAURA L SICKLER R.D.N.
Dietitian, Registered
500 3RD AVE
KINGSTON, PA 18704
Luzerne County (570) 371-3572
EDWARD FERKEL R.D.N. L.D.N.
Dietitian, Registered
500 3RD AVE
KINGSTON, PA 18704
Luzerne County (570) 371-3572
DIANE C INSALACO
Dietitian, Registered
500 3RD AVE
KINGSTON, PA 18704
Luzerne County (570) 371-3572

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 Nathaniel Petros's NPI number?

The NPI number for Nathaniel Petros is 1437084852. It was assigned to this individual provider in the NPPES registry on June 16, 2026.

Where is Nathaniel Petros located?

Nathaniel Petros practices at 500 3rd Ave, Kingston, PA 18704. The listed phone number is (570) 288-5588.

What is Nathaniel Petros's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nathaniel Petros was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.